Individual provider Active NPI

Kristen Vierregger, MD

  • General Practice Physician
  • Buena Park, CA
National Provider Identifier
1447699582
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A112427 Issued in CA
Practice address
8081 Stanton Ave Ste 300
Buena Park, CA 90620-3246
Phone
(714) 484-8000
Fax
(714) 484-8800
NPI assigned
Jun 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X A112427 CA
General Practice Physician 208D00000X A112427 CA Primary

Addresses

Primary practice location

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

Mailing address

8081 Stanton Ave., Ste 300
Buena Park, CA 90620
Phone (714) 484-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231005001972 CA Practitioner - General Practice 0446476279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A112427CAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metamorphosis Medical Center, Inc. CurrentSince Jun 26, 2022 Accepting new patients

Locations

8081 Stanton Ave
Ste 300
Buena Park, CA 90620
Phone (714) 484-8000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1447699582",
    "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": "90620",
            "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": {
        "last_name": "VIERREGGER",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "A112427",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A112427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.