Organization Active NPI

Keith D. Vrhel MD Inc.

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1699985697
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G43733 Issued in CA
Legal business name
KEITH D. VRHEL MD INC.
Practice address
4067 Park Blvd
San Diego, CA 92103-2619
Phone
(619) 296-0224
Fax
(619) 296-0433
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Keith Douglas Vrhel, M.D.
Title
Medical Director
Phone
(619) 296-0224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X G43733 CA Primary

Addresses

Primary practice location

4067 Park Blvd
San Diego, CA 92103-2619

Mailing address

4067 Park Blvd
San Diego, CA 92103-2619
Phone (619) 296-0224

Other names 1

  • Park Center for Health Doing business as

National Provider Directory

National Provider Directory

Locations

4067 Park Blvd
San Diego, CA 92103
Phone (619) 296-0224

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699985697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4067 PARK BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032619",
            "telephone_number": "619-296-0224",
            "fax_number": "619-296-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4067 PARK BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032619",
            "telephone_number": "619-296-0224",
            "fax_number": "619-296-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH D. VRHEL MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VRHEL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "619-296-0224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G43733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Center for Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.