Active NPI
Robert R Treuherz, MD
- Addiction Medicine (Internal Medicine) Physician
- Crestline, CA
National Provider Identifier
1194796151
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.
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- A44467
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME61470 | FL | MD | Addiction Medicine (Family Medicine) Physician |
| A44467 | CA | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Internal Medicine Physician
- Ft. Lauderdale, FL
- NPI 1467401877
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.