Organization Active NPI

Melvyn H. Krause, M. D. and John J. Di Mare Jr., M.D., Inc.

  • Specialist
  • Glendora, CA
National Provider Identifier
1801972302
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00A182340 Issued in CA
Legal business name
MELVYN H. KRAUSE, M. D. AND JOHN J. DI MARE JR., M.D., INC.
Practice address
210 S. Grand Avenue
Suite 302
Glendora, CA 91741
Phone
(626) 963-4149
Fax
(626) 963-9023
NPI assigned
Oct 27, 2006
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. Melvyn Howard Krause, M.D.
Title
Owner
Phone
(626) 963-4149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00A182340 CA Primary

Addresses

Primary practice location

210 S. Grand Avenue
Suite 302
Glendora, CA 91741

Mailing address

210 S. Grand Avenue
Suite 302
Glendora, CA 91741
Phone (626) 963-4149

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801972302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S. GRAND AVENUE",
            "address_2": "SUITE 302",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91741",
            "telephone_number": "626-963-4149",
            "fax_number": "626-963-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S. GRAND AVENUE",
            "address_2": "SUITE 302",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91741",
            "telephone_number": "626-963-4149",
            "fax_number": "626-963-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVYN H. KRAUSE, M. D. AND JOHN J. DI MARE JR., M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "MELVYN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-963-4149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "00A182340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, 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.