Active NPI
John Israel Kleinberg, M.D.
- Specialist
- Orange, CA
National Provider Identifier
1679639090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G39453
- Practice address
- 1310 W Stewart Dr Ste 505
Orange, CA 92868-3856 - Phone
- (714) 771-1213
- Fax
- (714) 771-7126
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G39453 | CA | Primary |
Addresses
Primary practice location
1310 W Stewart Dr Ste 505
Orange, CA 92868-3856
Mailing address
1310 W Stewart Dr Ste 505
Orange, CA 92868-3856
Phone (714) 771-1213
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G39453 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1679639090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W STEWART DR STE 505",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683856",
"telephone_number": "714-771-1213",
"fax_number": "714-771-7126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W STEWART DR STE 505",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683856",
"telephone_number": "714-771-1213",
"fax_number": "714-771-7126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINBERG",
"first_name": "JOHN",
"middle_name": "ISRAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G39453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.