Organization Active NPI

F Karl Gregorius M.D., Inc.

  • Neurological Surgery Physician
  • Stockton, CA
National Provider Identifier
1720399389
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G15246 Issued in CA
Legal business name
F KARL GREGORIUS M.D., INC.
Practice address
2209 N California St
Stockton, CA 95204-5503
Phone
(209) 943-0305
Fax
(209) 943-0402
NPI assigned
Jun 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Dr. Frederick Karl Gregorius, M.D.
Title
Owner/President
Phone
(209) 943-0305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X G15246 CA Primary

Addresses

Primary practice location

2209 N California St
Stockton, CA 95204-5503

Mailing address

2209 N California St
Stockton, CA 95204-5503
Phone (209) 943-0305

National Provider Directory

National Provider Directory

Locations

2209 N California St
Stockton, CA 95204
Phone (209) 943-0305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1720399389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045503",
            "telephone_number": "209-943-0305",
            "fax_number": "209-943-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045503",
            "telephone_number": "209-943-0305",
            "fax_number": "209-943-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F KARL GREGORIUS M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "GREGORIUS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "209-943-0305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G15246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.

Verify at the official NPI Registry.