Individual provider Active NPI

Edmund Peter Kemprud, M.D.

  • Family Medicine Physician
  • Dublin, CA
National Provider Identifier
1659421469
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Mar 20, 2023.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G28372 Issued in CA
Practice address
7667 Amador Valley Blvd
Dublin, CA 94568-2341
Phone
(925) 828-9211
Fax
(925) 828-0847
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G28372 CA Primary

Addresses

Primary practice location

7667 Amador Valley Blvd
Dublin, CA 94568-2341

Mailing address

7667 Amador Valley Blvd
Dublin, CA 94568-2341
Phone (925) 828-9211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G28372CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amador Valley Medical Center Past Accepting new patients

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659421469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7667 AMADOR VALLEY BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682341",
            "telephone_number": "925-828-9211",
            "fax_number": "925-828-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7667 AMADOR VALLEY BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682341",
            "telephone_number": "925-828-9211",
            "fax_number": "925-828-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPRUD",
        "first_name": "EDMUND",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G28372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.