NPIMap

Organization Active NPI

Kristen Vierregger

  • Clinic/Center
  • Buena Park, CA
National Provider Identifier
1376912287
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A112427 Issued in CA
Legal business name
KRISTEN VIERREGGER
Practice address
8081 Stanton Ave
Buena Park, CA 90620-3237
Phone
(714) 484-8000
Fax
(714) 484-8800
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Authorized official

Name
Dr. Kristen Sue Vierregger, M.D.
Title
Owner
Phone
(714) 484-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A112427 CA Primary

Addresses

Primary practice location

8081 Stanton Ave
Buena Park, CA 90620-3237

Mailing address

8081 Stanton Ave
Buena Park, CA 90620-3237
Phone (714) 484-8000

Other names 1

  • Metamorphosis Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

8081 Stanton Ave
Buena Park, CA 90620
Phone (714) 484-8000

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1376912287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 STANTON AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203237",
            "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",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203237",
            "telephone_number": "714-484-8000",
            "fax_number": "714-484-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN VIERREGGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "VIERREGGER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-484-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A112427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metamorphosis Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.