Active NPI
Torsten J Kruse, M.D.
- Internal Medicine Physician
- San Clemente, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A75928
- Practice address
- 831 Via Suerte
Suite 102
San Clemente, CA 92673-6531 - Phone
- (949) 364-5600
- NPI assigned
- Feb 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A75928 | CA | Primary |
Addresses
Primary practice location
831 Via Suerte
Suite 102
San Clemente, CA 92673-6531
Mailing address
831 Via Suerte
San Clemente, CA 92673-6531
Phone (949) 364-5600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tkruse1374278@oc.providencedirect.org |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040223001352 | CA | Practitioner - Internal Medicine | 9638065014 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Medical Foundation
Practice addresses (Care Compare)
100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
28881 Airoso St
Rancho Mission Viejo, CA 92694-2487
Phone (949) 304-1716
395 W Avenida Vista Hermosa
San Clemente, CA 92672-7720
Phone (949) 304-2117
831 Via Suerte
Suite 102
San Clemente, CA 92673-6531
Phone (949) 364-5600
Hospital & facility affiliations
- Care Plus Home Health
- Hoag Home Health
- Providence at Home With Compassus Home Health Orange County
- Care Plus Hospice
- Providence Mission Hospital
- Hoag Memorial Hospital Presbyterian
- Memorialcare Saddleback Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A75928 | CA | MD | Internal Medicine Physician |
Practice roles (11 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Children'S Hospital at Mission | Past | Accepting new patients | |
| Saddleback Memorial Medical Center | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 400
Anaheim, CA 92805
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
26522 La Alameda
Ste 120
Mission Viejo, CA 92691
Phone (949) 282-1671
26800 Crown Valley Pkwy
Ste 300
Mission Viejo, CA 92691
831 Via Suerte
Ste 102
San Clemente, CA 92673
Phone (949) 364-5600
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- tkruse1374278@oc.providencedirect.org
Organizations & group practices 12
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.
-
- Orthopaedic Surgery Physician
- Eureka, CA
- NPI 1386937225
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Mission Viejo, CA
- NPI 1427305960
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Children's Hospital
- Mission Viejo, CA
- NPI 1699868398
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
- Children's Hospital
- Long Beach, CA
- NPI 1477596583
-
- Rehabilitation Hospital
- Mission Viejo, CA
- NPI 1003956913
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- Rehabilitation Hospital Unit
- Laguna Hills, CA
- NPI 1114967114
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Laguna Hills, CA
- NPI 1528385143
-
- Home Health Agency
- Anaheim, CA
- NPI 1588486716
-
- Home Health Agency
- Newport Beach, CA
- NPI 1174192892
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
Hospital
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
Hospital
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
Hospital
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1972644482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 VIA SUERTE",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736531",
"telephone_number": "949-364-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 VIA SUERTE",
"address_2": "SUITE 102",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736531",
"telephone_number": "949-364-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "TORSTEN",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A75928",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tkruse1374278@oc.providencedirect.org",
"affiliation": "N",
"address_1": "831 Via Suerte",
"address_2": "Suite 102",
"city": "San Clemente",
"state": "CA",
"country_code": "US",
"postal_code": "926736531",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Clemente, CA
- Kristen Ritzau, D.D.S., Inc.
- Kristin Blaney, Individual & Family Therapy, Inc.
- Kristin Blaney, Individual & Family Therapy, Inc.
- Kristin M Massamiri
- Kathleen Krueger, HHP
- Amanda Marie Kugel
- Kyu Lee DMD,Inc.
- La Laser Center PC, a Professional Medical Corporation
- La Laser Center, PC, a Professional Medical Corporation
- Sheridan Lamb, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.