Douglas M Krahn, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A64325 Issued in CA

Practice address

401 E Highland Ave Ste 252
San Bernardino, CA 92404-3828

Phone

(909) 475-8611

Fax

(909) 475-8668

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of California, Geffen School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Bariatric a Medical CorporationGroup PAC ID 3476607052, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkview Community Hospital Medical Center Hospital, Riverside, CA, CCN 050102

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (18 of 19)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Western Bariatric, a Medical Corporation

  • Surgery Physician
  • San Bernardino, CA
  • NPI 1184821373

  CA, Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1700803418

  CA

  Medicare reassignment NPD
• Riverside Medical Clinic, Inc

  • Dermatology Physician
  • Riverside, CA
  • NPI 1720183403

  CA

  Medicare reassignment NPD
• Western Acute Care Surgeons Inc

  • Surgery Physician
  • San Bernardino, CA
  • NPI 1417581059

  CA, Surgery

  Medicare reassignment NPD
• Western Vascular a Medical Corporation

  • Vascular Surgery Physician
  • San Bernardino, CA
  • NPI 1497486245

  Surgery

  NPD Authorized official
• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Grass Valley, CA
  • NPI 1043456106
  NPD
• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Redding, CA
  • NPI 1912288432
  NPD
• Riverside Medical Clinic, Inc

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1639274319
  NPD
• Riverside Medical Clinic, Inc

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1730180415

  Surgery

  NPD
• Chapman Medical Center Inc

  • Institutional Pharmacy
  • Orange, CA
  • NPI 1053354308
  NPD (past)
• Community Hospital of San Bernardino

  • Pediatric Skilled Nursing Facility
  • San Bernardino, CA
  • NPI 1851395685
  NPD (past)
• Crown Surgery Medical Group Inc

  • Surgery Physician
  • Murrieta, CA
  • NPI 1477622587

  Surgery

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital of Riverside LLC

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1124596382

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922029677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E HIGHLAND AVE STE 252",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043828",
            "telephone_number": "909-475-8611",
            "fax_number": "909-475-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E HIGHLAND AVE STE 252",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043828",
            "telephone_number": "909-475-8611",
            "fax_number": "909-475-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAHN",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A64325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Waylon Don Kreneck, RADT-1, PSS
• Trisha Krigbaum
• Vidhya Krishnamurthy, PHD

• All providers in San Bernardino, CA
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.