Active NPI
Keith D. Vrhel MD Inc.
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1699985697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G43733
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.