NPIMap

Organization Active NPI

Kiersten L Riedler MD Corp

  • Medical Specialty Clinic/Center
  • La Jolla, CA
National Provider Identifier
1497346993
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
KIERSTEN L RIEDLER MD CORP
Practice address
9850 Genesee Ave Ste 130
La Jolla, CA 92037-1206
Phone
(858) 452-1981
NPI assigned
Jan 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Dr. Kiersten L Riedler, MD
Title
President
Phone
(858) 882-7504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 130
La Jolla, CA 92037-1206

Mailing address

11244 Vista Sorrento Pkwy Apt 210
San Diego, CA 92130-7629
Phone (858) 882-7504

National Provider Directory

National Provider Directory

Locations

9850 Genesee Ave
Ste 130
La Jolla, CA 92037
Phone (858) 245-6550

5405 Oberlin Dr
San Diego, CA 92121
Phone (858) 909-0770

12895 Paseo Village Way
Ste 1240
San Diego, CA 92130
Phone (858) 299-4990

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1497346993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11244 VISTA SORRENTO PKWY APT 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921307629",
            "telephone_number": "858-882-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 130",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371206",
            "telephone_number": "858-452-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIERSTEN L RIEDLER MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "RIEDLER",
        "authorized_official_first_name": "KIERSTEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-882-7504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.