Active NPI
Kyle Christian Dornhofer
- Emergency Medicine Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A177990
- Practice address
- 101 The City Drive S
Rte. 128-01
Orange, CA 92868 - Phone
- (714) 456-8116
- NPI assigned
- Mar 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | STUDENT | CA | |
| Emergency Medicine Physician | 207P00000X | A177990 | CA | Primary |
Addresses
Primary practice location
101 The City Drive S
Rte. 128-01
Orange, CA 92868
Mailing address
101 The City Drive S
Rte. 128-01
Orange, CA 92868
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A177990 | CA | MD | Emergency Medicine Physician |
| STUDENT | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
Locations
345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261
751 Medical Center Ct
#1182
Chula Vista, CA 91911
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
101 The City Dr S
#12801
Orange, CA 92868
Phone (714) 456-5239
1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633
Interoperability endpoints
- kdornhofer181273@direct.renown.org
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Emergency Medicine Physician
- Orange, CA
- NPI 1154379394
-
- Emergency Medicine Physician
- San Luis Obispo, CA
- NPI 1295781615
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1942836812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 THE CITY DRIVE S",
"address_2": "RTE. 128-01",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DRIVE S",
"address_2": "RTE. 128-01",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-456-8116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORNHOFER",
"first_name": "KYLE",
"middle_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-22",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "STUDENT",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A177990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.