Active NPI
David Elliott Krieger, M.D.,PH.D.
- Gastroenterology Physician
- Valencia, CA
National Provider Identifier
1013946565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G42146
- Practice address
- 25775 McBean Pkwy
Suite 115
Valencia, CA 91355-3708 - Phone
- (661) 255-2420
- Fax
- (661) 259-5741
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G42146 | CT | Primary |
Addresses
Primary practice location
25775 McBean Pkwy
Suite 115
Valencia, CA 91355-3708
Mailing address
25775 McBean Pkwy
Suite 115
Valencia, CA 91355-3708
Phone (661) 255-2420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42146 | CT | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valencia Gastroenterology, Inc. | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1013946565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25775 MCBEAN PKWY",
"address_2": "SUITE 115",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913553708",
"telephone_number": "661-255-2420",
"fax_number": "661-259-5741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25775 MCBEAN PKWY",
"address_2": "SUITE 115",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913553708",
"telephone_number": "661-255-2420",
"fax_number": "661-259-5741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEGER",
"first_name": "DAVID",
"middle_name": "ELLIOTT",
"credential": "M.D.,PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CT",
"license": "G42146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.