Active NPI
Ralph G Dreier
- Surgery Physician
- Hemet, CA
National Provider Identifier
1174506661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 00A288820
- Practice address
- 241 Laursen St
Hemet, CA 92543-4437 - Phone
- (951) 658-3258
- Fax
- (951) 658-1299
- NPI assigned
- Nov 29, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 00A288820 | CA | Primary |
| Vascular Surgery Physician | 2086S0129X | 00A288820 | CA |
Addresses
Primary practice location
241 Laursen St
Hemet, CA 92543-4437
Mailing address
241 Laursen St
Hemet, CA 92543-4437
Phone (951) 658-3258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3571616 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00A288820 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1174506661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 LAURSEN ST",
"city": "HEMET",
"state": "CA",
"postal_code": "925434437",
"telephone_number": "951-658-3258",
"fax_number": "951-658-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 LAURSEN ST",
"city": "HEMET",
"state": "CA",
"postal_code": "925434437",
"telephone_number": "951-658-3258",
"fax_number": "951-658-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREIER",
"first_name": "RALPH",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "00A288820",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "00A288820",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3571616",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.