MRS. KRISTY PEGG (NPI# 1992755474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992755474 |
Entity Type | Individual |
Full Name | MRS. KRISTY PEGG |
Other Name | KRISTY KREIDLER |
Credential | OT, CHT |
Practice Address |
360 San Miguel Dr Ste 302 Newport Beach CA 92660-7853 |
Practice Telephone | 9496446050 |
Practice Fax Number | 9496444427 |
Mailing Telephone | 9496446050 |
Mailing Fax Number | 9496444427 |
Enumeration Date | 2006-05-12 |
Last Update Date | 2007-10-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
9132 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
360 SAN MIGUEL DR STE 302 |
City | NEWPORT BEACH |
State | CA |
Zip Code | 92660-7853 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821093311 | Cory Lynne Brame | Ophthalmology | 360 San Miguel Dr, Ste 307, Newport Beach, CA 92660-7829 | 2005-06-20 |
1740674415 | Ewelina Szymanowicz | Nurse Practitioner | 360 San Miguel Dr, Suite 309, Newport Beach, CA 92660-7853 | 2015-03-20 |
1215341730 | Matthew James Belmont | Physician Assistant | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2014-06-12 |
1336575257 | Sheets, Paquette & Wu Dental Practice | Clinic/Center | 360 San Miguel Dr, Suite 204, Newport Beach, CA 92660-7853 | 2013-09-24 |
1528301710 | Scott K. Forman M.d. Professional Corporation | Orthopaedic Surgery | 360 San Miguel Dr, #701, Newport Beach, CA 92660-7853 | 2013-04-05 |
1932444395 | Jennifer June Rhoton | Nurse Practitioner | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2012-12-11 |
1568717122 | Jean Chin Wu | Dentist | 360 San Miguel Dr, #204, Newport Beach, CA 92660 | 2012-07-19 |
1326334202 | Riviera Medical Corporation | Non-Pharmacy Dispensing Site | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2011-06-20 |
1700188174 | Edward G. Rohaly,m.d. Inc. | Clinic/Center | 360 San Miguel Dr, Suite 309, Newport Beach, CA 92660-7829 | 2010-11-17 |
1093024739 | Chalinee Jill Intarachote | Physical Medicine & Rehabilitation | 360 San Miguel Dr, 301, Newport Beach, CA 92660-7853 | 2010-09-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
Find all providers in zip 92660 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871518944 | Smita Dinesh Mistry | Occupational Therapist | 4341 Birch St, Ste 102, Newport Beach, CA 92660-1924 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518568559 | Mary Jean Allan | Occupational Therapist | 1070 Crestline Cir, El Dorado Hills, CA 95762-7223 | 2020-11-05 |
1154957280 | Jennifer Marie Macintire | Occupational Therapist | 7000 East Ave # B663l723, Livermore, CA 94550-9698 | 2020-03-20 |
1699324988 | Gabriela Garcia | Occupational Therapist | 15311 Gundry Ave Unit 11, Paramount, CA 90723-3987 | 2019-09-09 |
1720648298 | Josephine Mickelsen | Occupational Therapist | 22961 Soledad Canyon Rd, Santa Clarita, CA 91350-2633 | 2019-06-17 |
1376109108 | Bryan Kang | Occupational Therapist | 2411 Vanderbilt Ln # B, Redondo Beach, CA 90278-3213 | 2019-05-16 |
1104383074 | Hand Rehab Pros Antelope Valley | Occupational Therapist | 1037 E Palmdale Blvd Ste 201, Palmdale, CA 93550-4745 | 2019-02-26 |
1154886513 | Christine Clermont | Occupational Therapist | 1025 Service Pl, Vista, CA 92084-7200 | 2019-02-09 |
1831662287 | Arshia Mohamadi | Occupational Therapist | 2211 W Magnolia Blvd Ste 295, Burbank, CA 91506-1753 | 2019-01-09 |
1609354752 | Leigha Holtzhouser | Occupational Therapist | 15525 Pomerado Rd Ste C8, Poway, CA 92064-2426 | 2018-07-31 |
1669978292 | Brian David Van Der Wyk | Occupational Therapist | 9819 Nadine St, Temple City, CA 91780-2621 | 2018-04-03 |
Find all providers with the same taxonomy |
City | NEWPORT BEACH |
Zip Code | 92660 |
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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.