Krepak Pediatrics, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20A7199 Issued in CA

Legal business name

KREPAK PEDIATRICS, INC.

Doing business as

Donna Krepak, D.O., F.A.A.P.

Practice address

29645 Rancho California Rd
Suite 210
Temecula, CA 92591-6200

Phone

(951) 506-6554

Fax

(951) 506-6574

NPI assigned

Aug 3, 2009

Last updated

Jun 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donna Krepak, D.O.NPI 1750389177

Title

President

Phone

(951) 506-6554

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Donna Krepak, D.O., F.A.A.P. 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, and the practitioner matching its NPPES authorized official.

• Donna Krepak, D.O.

  • Pediatrics Physician
  • Temecula, CA
  • NPI 1750389177
  NPD (past) Authorized official

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1336370766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD",
            "address_2": "SUITE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916200",
            "telephone_number": "951-506-6554",
            "fax_number": "951-506-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD",
            "address_2": "SUITE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916200",
            "telephone_number": "951-506-6554",
            "fax_number": "951-506-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREPAK PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "KREPAK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-506-6554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A7199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00AX71990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donna Krepak, D.O., F.A.A.P.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corranda Kosciolek, FNP-BC, DHA
• Jason Kovacs
• David Wright Kowallis, P.A.
• Michael Brian Krapes, PSY.D.
• Kyndra Krebs
• Donna Krepak, D.O.
• Jocelyn Krisilas, PT
• Kristin Olah M.D. Inc.
• Kristine T. Wagner, PH.D, Inc.
• Madison Kritsch, DO

• Pediatrics Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.