Mark Kritchevsky, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G38155 Issued in CA

Practice address

Ucsd Medical Center
200 West Arbor Drive MC 8201
San Diego, CA 92103-8201

Phone

(858) 657-8540

Fax

(619) 543-3183

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104866318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA MEDICAL CENTER 3350 LA JOLLA VILLAGE DRIVE (912",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610001",
            "telephone_number": "858-642-3685",
            "fax_number": "858-552-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCSD MEDICAL CENTER",
            "address_2": "200 WEST ARBOR DRIVE MC 8201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038201",
            "telephone_number": "858-657-8540",
            "fax_number": "619-543-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRITCHEVSKY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G38155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G381550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine N. Tran, DDS, Inc.
• Virginia P Kristl, FNP
• Kraig C Kristofferson
• Kristy Cadava, D.C. a Chiropractic Corporation
• Kristyn Beckstrom, MFT
• Kimberly Kritzer
• Lauren Krivanec
• John Francis Kriz Jr., DMD
• Anastasia Marie Kroepil
• Olivia Krohta

• Neurology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.