John M Kroener a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

G35262 Issued in CA

Legal business name

JOHN M KROENER A MEDICAL CORPORATION

Practice address

3998 Vista Way
Suite 200
Oceanside, CA 92056-4500

Phone

(760) 724-5352

Fax

(760) 724-5447

NPI assigned

Oct 15, 2008

Organization subpart

No

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

Authorized official

Name

John M. Kroener, M.D.

Title

President

Phone

(760) 724-5352

Specialties & licenses 1

Addresses

Other names 1

• John M. Kroener, M.D. Other name

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1760634364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "SUITE 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564500",
            "telephone_number": "760-724-5352",
            "fax_number": "760-724-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "SUITE 200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564500",
            "telephone_number": "760-724-5352",
            "fax_number": "760-724-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M KROENER A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "KROENER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-724-5352",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G35262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John M. Kroener, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Jimenez
• Vanessa M Jimenez, RAC
• JMS Medical, Inc.
• Patrycja Joczyn
• Paul David Johenk, D.O.
• Andrew K John, DDS
• Lacy Johnson-Bathurst
• Allison Johnson, MA, MFT
• Blake Johnson
• Chrisanna Johnson, M.D.

• Specialist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.