Crown Valley Internal Medical Group

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

CROWN VALLEY INTERNAL MEDICAL GROUP

Practice address

26732 Crown Valley Pkwy Ste 511
Mission Viejo, CA 92691-8525

Phone

(949) 364-1800

Fax

(949) 364-1877

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell I Streger, M.D.

Title

Ceo

Phone

(949) 364-1800

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1114100435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY",
            "address_2": "SUITE 511",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916306",
            "telephone_number": "949-364-1800",
            "fax_number": "949-364-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 511",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918525",
            "telephone_number": "949-364-1800",
            "fax_number": "949-364-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN VALLEY INTERNAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "STREGER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-364-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "W1406",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G112200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elizabeth Crook, LCSW
• Cross the World Ministries, Inc.
• Crow Autism & Speech Therapy Consulting Services Inc
• Hillary Crow
• Erica Crowell, PPS
• Crown Valley Outpatient Surgical Center LLC
• Crown Valley Radiologist
• Crown Valley Radiologists Inc a Professional Medical Corp
• Crown Valley Surgery Center
• Cruz-Hoppe Dental Corporation

• Nephrology Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.