Organization Active NPI

Lisa B. Kremer, M.D.

  • Rheumatology Physician
  • Santa Rosa, CA
National Provider Identifier
1841494275
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G076815 Issued in CA
Legal business name
LISA B. KREMER, M.D.
Practice address
4725-A Hoen Ave
Santa Rosa, CA 95405-7862
Phone
(707) 576-3322
NPI assigned
Jun 11, 2007
Last updated
Mar 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Sandy Thrasher
Title
Biller
Phone
(707) 535-4330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X G076815 CA Primary

Addresses

Primary practice location

4725-A Hoen Ave
Santa Rosa, CA 95405-7862

Mailing address

PO Box 3669
Santa Rosa, CA 95402-3669
Phone (707) 535-4330

Other identifiers 1

IdentifierTypeStateIssuer
1841494275MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1841494275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3669",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954023669",
            "telephone_number": "707-535-4330",
            "fax_number": "707-535-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725-A HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057862",
            "telephone_number": "707-576-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA B. KREMER, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "THRASHER",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "707-535-4330"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G076815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841494275",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.