Gregory Bogdan Kirkorowicz, MD

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

A025405 Issued in CA

Practice address

1401 N Tustin Ave
#140
Santa Ana, CA 92705

Phone

(714) 543-2554

Fax

(714) 835-1383

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265599708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE",
            "address_2": "#811",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "714-543-2554",
            "fax_number": "949-854-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVE",
            "address_2": "#140",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-543-2554",
            "fax_number": "714-835-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKOROWICZ",
        "first_name": "GREGORY",
        "middle_name": "BOGDAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "A025405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rory Kinsella
• Kintsu Physical Therapy and Wellness, Inc. (Kintsu Physical Therapy and Wellness)
• Jennifer Lynn Kippe
• Samuel L Kipper, M.D.
• Christine Molina Kirazli
• Mark A. Kirsch, MPT
• Jacob Kirschner
• Erika Kiseloff, ABAT
• Natsumi Kitami, RBT
• Tiare Kitiona

• Neurology Physical Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Neurology Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.