Michael Honore Criqui, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

A24283 Issued in CA

Practice address

9500 Gilman Dr
Mail Code 0607
La Jolla, CA 92093-0607

Phone

(858) 534-3722

Fax

(858) 246-0298

NPI assigned

Jan 28, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1245653146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR",
            "address_2": "MAIL CODE 0607",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930607",
            "telephone_number": "858-534-3722",
            "fax_number": "858-246-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR",
            "address_2": "MAIL CODE 0607",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930607",
            "telephone_number": "858-534-3722",
            "fax_number": "858-246-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIQUI",
        "first_name": "MICHAEL",
        "middle_name": "HONORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A24283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ana Maria Crissien Martinez, M.D.
• Camille Cromwell, FNP
• John W. Cronin, M.D.
• Karlie Lynne Crutcher, RN
• Larry Minton Crutcher III, RN

• All providers in La Jolla, CA
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.