Ktre1, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

KTRE1, LLC

Practice address

3219 Canon St
San Diego, CA 92106-2512

Phone

(619) 225-5616

NPI assigned

Jul 22, 2019

Organization subpart

No

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

Authorized official

Name

Maria Flores

Title

Manager

Phone

(619) 225-5616

Specialties & licenses 1

Addresses

Other names 1

• BayView Senior Assisted Living Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1821641507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 CANON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062512",
            "telephone_number": "619-225-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CANON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062512",
            "telephone_number": "619-225-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTRE1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-225-5616"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey@bayviewpointloma.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3219 Canon St",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921062512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "BayView Senior Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tereza Kryslova, CNM,MSN,WHNP-BC
• Cristina Renee Krystek, LMFT
• Michael Joseph Krzyzaniak, M.D.
• KS Care LLC
• Larissa J Ksar, OTR/L
• Ktre1, LLC
• Ktre2, LLC
• Julie Ku, PHARMD
• Justine Ku
• Natalie Ku, M.D.

• Alzheimer Center (Dementia Center) in San Diego, CA
• Providers in San Diego, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.