Active NPI
Allyson A. Kreshak, M.D.
- Emergency Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A102811
- Practice address
- 200 W Arbor Dr
Mailcode 8925
San Diego, CA 92103-9001 - Phone
- (267) 872-3916
- Fax
- (858) 715-6361
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD13560 | RI | |
| Medical Toxicology (Emergency Medicine) Physician | 207PT0002X | A102811 | CA | |
| Emergency Medicine Physician | 207P00000X | A102811 | CA | Primary |
| Emergency Medicine Physician | 207P00000X | MD424637 | PA |
Addresses
Primary practice location
200 W Arbor Dr
Mailcode 8925
San Diego, CA 92103-9001
Mailing address
200 W Arbor Dr
Mailcode 8925
San Diego, CA 92103-9001
Phone (267) 872-3916
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101658673 | Medicaid | PA | |
| 1194758219 | Medicaid | CA | |
| 0107375 | Medicaid | NJ | |
| 939025129 | Other | RI | RI MEDICARE GROUP |
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Regents of the University of California
Practice addresses (Care Compare)
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.77 of 100
- Quality
- 84.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13560 | RI | MD | Emergency Medicine Physician |
| A102811 | CA | MD | Medical Toxicology (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Emergency Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Emergency Medicine | Current | Accepting new patients |
| UC San Diego Health Community Group | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Regents of the University of California - Ucsd Medical Group | Current | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients | |
| Rady Children'S Hospital San Diego | Past | Accepting new patients |
Locations
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
8910 Villa La Jolla Dr
Ste 100
La Jolla, CA 92037
16950 Via Tazon
San Diego, CA 92127
Phone (858) 521-2265
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
200 W Arbor Dr
#8925
San Diego, CA 92103
Phone (267) 872-3916
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841
Interoperability endpoints
- akreshak81222@scrippshlth.medalliesdirect.net
Organizations & group practices 11
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.
-
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
- NPI 1376646869
-
- Family Medicine Physician
- San Diego, CA
- NPI 1578672184
Emergency Medicine
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1780870899
-
- Community Health Clinic/Center
- San Diego, CA
- NPI 1659864247
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Gastroenterology Physician
- San Diego, CA
- NPI 1336267137
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1194758219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"address_2": "MAILCODE 8925",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039001",
"telephone_number": "267-872-3916",
"fax_number": "858-715-6361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"address_2": "MAILCODE 8925",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039001",
"telephone_number": "267-872-3916",
"fax_number": "858-715-6361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRESHAK",
"first_name": "ALLYSON",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "RI",
"license": "MD13560",
"primary": false
},
{
"code": "207PT0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Medical Toxicology",
"state": "CA",
"license": "A102811",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A102811",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD424637",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101658673",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194758219",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0107375",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI MEDICARE GROUP",
"identifier": "939025129",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.