Individual provider Active NPI

Robert R Treuherz, MD

  • Addiction Medicine (Internal Medicine) Physician
  • Crestline, CA
National Provider Identifier
1194796151
Registry record updated Mar 7, 2023
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Jan 20, 2015.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
A44467 Issued in CA
Practice address
23739 Lake Drive Ste 101
Crestline, CA 92325
Phone
(909) 273-8779
Fax
(888) 507-7087
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X ME61470 FL
Specialist 174400000X ME61470 FL
Addiction Medicine (Internal Medicine) Physician 207RA0401X A44467 CA Primary

Addresses

Primary practice location

23739 Lake Drive Ste 101
Crestline, CA 92325

Mailing address

PO Box 117
Cedar Glen, CA 92321-0117
Phone (909) 273-8779

Other practice location 1

29104 Bald Eagle Ridge Dr
Lake Arrowhead, CA 92352-0117
Phone (909) 273-8779

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME61470FLMDAddiction Medicine (Family Medicine) Physician
A44467CAMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194796151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "CEDAR GLEN",
            "state": "CA",
            "postal_code": "923210117",
            "telephone_number": "909-273-8779",
            "fax_number": "909-744-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23739 LAKE DRIVE STE 101",
            "city": "CRESTLINE",
            "state": "CA",
            "postal_code": "92325",
            "telephone_number": "909-273-8779",
            "fax_number": "888-507-7087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29104 Bald Eagle Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Arrowhead",
            "state": "CA",
            "postal_code": "923520117",
            "country_code": "US",
            "telephone_number": "909-273-8779",
            "fax_number": "888-507-7087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREUHERZ",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME61470",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME61470",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A44467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestline, CA

Sources for this page

Verify at the official NPI Registry.