Organization Active NPI

James J Krueger, MD, Inc

  • Specialist
  • Long Beach, CA
National Provider Identifier
1023135464
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A45160 Issued in CA
Legal business name
JAMES J KRUEGER, MD, INC
Practice address
701 E 28TH St
400
Long Beach, CA 90806-2759
Phone
(562) 424-6040
Fax
(562) 427-2565
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Jerome Krueger, M.D.
Title
Owner
Phone
(562) 424-6040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A45160 CA Primary

Addresses

Primary practice location

701 E 28TH St
400
Long Beach, CA 90806-2759

Mailing address

PO Box 749
Huntington Beach, CA 92648-0749
Phone (562) 424-6040

Other identifiers 1

IdentifierTypeStateIssuer
00A451600MedicaidCA

National Provider Directory

National Provider Directory

Locations

701 E 28th St
Ste 400
Long Beach, CA 90806
Phone (562) 424-6040

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1023135464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926480749",
            "telephone_number": "562-424-6040",
            "fax_number": "562-427-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST",
            "address_2": "400",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062759",
            "telephone_number": "562-424-6040",
            "fax_number": "562-427-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES J KRUEGER, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-424-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A45160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A451600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.