Annette Kruger

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2423 Hoover Ave
National City, CA 91950-6619

Phone

(619) 795-9925

NPI assigned

Aug 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1497585251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 VIRGINIA AVE # 2443",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921732717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 HOOVER AVE",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919506619",
            "telephone_number": "619-795-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Koo, O.D.
• Nathaniel Benjamin Kopka, BT
• Allison Kornblatt, M.D.
• Zoe Rebecca Kornweibel, CPSS
• Carolyn F. Kreider
• Samuel Kugel, M.D.
• Kuruvadi, D.D.S., Inc.
• Sanjay Kuruvadi, DDS - ORTHODONTIST
• Jayne Kwon-Clavadetscher, APRN
• Mya Theda Kyi

• All providers in National City, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.