Metamorphosis Medical Center, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

METAMORPHOSIS MEDICAL CENTER, INC.

Doing business as

Metamorphosis Medical Center

Practice address

8081 Stanton Ave Ste 300
Buena Park, CA 90620-3246

Phone

(714) 484-8000

Fax

(714) 484-8800

NPI assigned

Jun 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kristen S Vierregger, MDNPI 1447699582

Title

Ceo/Physician

Phone

(714) 484-8000

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Metamorphosis Medical Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Vierregger, MD

  • General Practice Physician
  • Buena Park, CA
  • NPI 1447699582
  NPD Authorized official

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1265163182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 STANTON AVE STE 300",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203246",
            "telephone_number": "714-484-8000",
            "fax_number": "714-484-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 STANTON AVE STE 300",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203246",
            "telephone_number": "714-484-8000",
            "fax_number": "714-484-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "VIERREGGER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "714-484-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447699582",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metamorphosis Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Mendoza
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• Nicole Merizan-Aguayo, ASCWS
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• Michael J.C. Chang, DMD, Inc.
• Marvy Hany Louz Mahrous Mikhail
• Lizbeth Millan

• Primary Care Clinic/Center in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.