Imperial Valley Hospitalist Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IMPERIAL VALLEY HOSPITALIST INC

Practice address

207 W Legion Rd
Brawley, CA 92227-7780

Phone

(760) 344-7976

Fax

(760) 344-7106

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Michael N Krutzik, MD

Title

Ceo

Phone

(760) 344-7976

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1316446644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W H ST STE 110",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922272250",
            "telephone_number": "760-344-7976",
            "fax_number": "760-344-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W LEGION RD",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922277780",
            "telephone_number": "760-344-7976",
            "fax_number": "760-344-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VALLEY HOSPITALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "KRUTZIK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-344-7976",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imperial Valley Healthcare District
• Imperial Valley Healthcare District
• Imperial Valley Healthcare District
• Imperial Valley Healthcare District
• Imperial Valley Home Health Care Corporation
• Imperial Valley Wellness Center
• Imperial Valleyrespite, Inc.
• Ramaiah Indudhara, MD
• Inland Empire Medical Transportation LLC
• Inpatient Care of Southern California Inc

• Internal Medicine Physician in Brawley, CA
• Providers in Brawley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.