Individual provider Active NPI

Torsten J Kruse, M.D.

  • Internal Medicine Physician
  • San Clemente, CA
National Provider Identifier
1972644482
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A75928 Issued in CA
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

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223001352 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9638065014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical Foundation 1,461 clinicians

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 Home health agency, Laguna Hills, CA, CCN 059376
  • Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
  • Providence at Home With Compassus Home Health Orange County Home health agency, Anaheim, CA, CCN 057600
  • Care Plus Hospice Hospice, Laguna Hills, CA, CCN 551749
  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A75928CAMDInternal Medicine Physician

Practice roles (11 of 12)

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jan 12, 2015 Accepting new patients
Providence Medical Foundation CurrentSince Jan 12, 2015 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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

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

Sources for this page

Verify at the official NPI Registry.