KREPAK PEDIATRICS, INC. (NPI# 1336370766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336370766 |
| Entity Type | Organization |
| Organization Name | KREPAK PEDIATRICS, INC. |
| Other Organization Name | DONNA KREPAK, D.O., F.A.A.P. |
| Practice Address |
29645 Rancho California Rd Suite 210 Temecula CA 92591-6200 |
| Practice Telephone | 9515066554 |
| Practice Fax Number | 9515066574 |
| Mailing Telephone | 9515066554 |
| Mailing Fax Number | 9515066574 |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2013-06-20 |
| Authorized Official Name | DR. DONNA KREPAK (PRESIDENT) |
| Authorized Official Telephone | 9515066554 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 20A7199 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 00AX71990 | 01 |
| Other Name | Type Code |
|---|---|
| Donna Krepak, D.O., F.A.A.P. | Doing Business As Name - Organization |
| Street Address |
29645 RANCHO CALIFORNIA RD SUITE 210 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389177 | Donna Krepak | Pediatrics | 29645 Rancho California Rd, Suite 210, Temecula, CA 92591-6200 | 2005-07-09 |
| 1831632595 | Aryanpur Medical Incorporated | Psychiatry & Neurology | 29645 Rancho California Rd, Suite 133, Temecula, CA 92591-6200 | 2016-11-29 |
| 1174990386 | Guillermina Garza | Social Worker | 29645 Rancho California Rd, Suite 133, Temecula, CA 92591-6200 | 2015-08-24 |
| 1881945483 | David W Schwartz, Inc. | Family Medicine | 29645 Rancho California Rd, Suite 141, Temecula, CA 92591-6200 | 2012-09-24 |
| 1225319676 | Joy Marie Miedema | Physician Assistant | 29645 Rancho California Rd, Temecula, CA 92591-6200 | 2011-08-30 |
| 1649586587 | Linda Hardin Lcsw, Inc. | Social Worker | 29645 Rancho California Rd, 238, Temecula, CA 92591-6200 | 2010-08-30 |
| 1700106564 | Timothy J Killeen Md Inc | Internal Medicine | 29645 Rancho California Rd, Ste. 226, Temecula, CA 92591-6200 | 2010-06-03 |
| 1255582961 | Holly A. Rowe | Nurse Practitioner | 29645 Rancho California Rd, Suite 101, Temecula, CA 92591-6200 | 2008-10-01 |
| 1750559431 | All Star Physical Therapy, Inc. | Occupational Therapist | 29645 Rancho California Rd, Suite 234, Temecula, CA 92591-6200 | 2008-02-14 |
| 1235316951 | Randy E Buchmiller | Dentist | 29645 Rancho California Rd, Suite 121, Temecula, CA 92591-6200 | 2008-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276461 | Hillary Avera | Pediatrics | 41238 Margarita Rd Ste 106, Temecula, CA 92591-5552 | 2019-03-28 |
| 1558409797 | Natasha A Rodgers | Pediatrics | 31170 Temecula Pkwy Ste 200, Temecula, CA 92592-2915 | 2007-02-01 |
| 1891720603 | Christina Schmidt | Pediatrics | 41002 County Center Dr, Temecula, CA 92591-6027 | 2006-07-11 |
| 1619945417 | Kenneth A Liu | Pediatrics | 27309 Madison Ave, Temecula, CA 92590-5685 | 2006-03-09 |
| 1194796367 | Daniel C Robbins | Pediatrics | 27555 Ynez Rd, #370, Temecula, CA 92591 | 2006-01-27 |
| 1730189093 | Leticia Y Du | Pediatrics | 41238 Margarita Rd, #106, Temecula, CA 92591-5552 | 2005-07-28 |
| 1750389177 | Donna Krepak | Pediatrics | 29645 Rancho California Rd, Suite 210, Temecula, CA 92591-6200 | 2005-07-09 |
| 1124472121 | Brandy N Le | Pediatrics | 31170 Temecula Pkwy Ste 200, Temecula, CA 92592-2915 | 2016-04-16 |
| 1841686508 | Amber V. Hamilton | Pediatrics | 31170 Temecula Pkwy Ste 200, Temecula, CA 92592-2915 | 2015-04-09 |
| 1689015646 | Mikhal Gold Schiffer | Pediatrics | 31170 Temecula Pkwy Ste 200, Temecula, CA 92592-2915 | 2013-07-07 |
| Find all providers in TEMECULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.