Active NPI
Vladimir Krepostin
- Student in an Organized Health Care Education/Training Program
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 13001 E. 17TH Place
University of Colorado School of Medicine Gme
Aurora, CO 80045-2581 - Phone
- (303) 724-1788
- NPI assigned
- Apr 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
13001 E. 17TH Place
University of Colorado School of Medicine Gme
Aurora, CO 80045-2581
Mailing address
27913 132ND CT SE
Kent, WA 98042-9012
Phone (206) 734-2530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17001 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contra Costa County | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients |
Locations
2500 Alhambra Ave
Martinez, CA 94553
Phone (925) 370-5000
2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730
Organizations & group practices 3
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.
-
dba West County Adult Mental Health Services
- Adult Mental Health Clinic/Center
- San Pablo, CA
- NPI 1376620336
-
dba East County Adult Mental Health Services
- Adult Mental Health Clinic/Center
- Pittsburg, CA
- NPI 1073691598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1073900098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27913 132ND CT SE",
"city": "KENT",
"state": "WA",
"postal_code": "980429012",
"telephone_number": "206-734-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 E. 17TH PLACE",
"address_2": "UNIVERSITY OF COLORADO SCHOOL OF MEDICINE GME",
"city": "AURORA",
"state": "CO",
"postal_code": "800452581",
"telephone_number": "303-724-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREPOSTIN",
"first_name": "VLADIMIR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-16",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.