Christopher Tay Krueger

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA7501 Issued in CA

Practice address

11260 Wilbur Ave Ste 100
Porter Ranch, CA 91326-2450

Phone

(818) 923-5458

NPI assigned

Mar 23, 2023

Sex

Male

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

State licenses

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1558064188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 WILBUR AVE STE 100",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262450",
            "telephone_number": "818-923-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 WILBUR AVE STE 100",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262450",
            "telephone_number": "818-923-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "CHRISTOPHER",
        "middle_name": "TAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young Mi Kim, ASW
• Joshua James Kimball, LMFT
• Mkrtich Michael Kirakossian, RPH
• Niramol Kitsawadi, PHARMACIST
• Raghu Konanur Venkataram
• Elise Jung-Min Kwon, MD
• Maggie La, RPH
• Mumtaz Lakhani, M.D.
• Richard David Landers, MD
• Lark Behavior Group Inc.

• Hearing Instrument Specialist in Porter Ranch, CA
• Providers in Porter Ranch, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.