Active NPI
Lisa B. Kremer, M.D.
- Rheumatology Physician
- Santa Rosa, CA
National Provider Identifier
1841494275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- G076815
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841494275 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.