IRENE KAE ENZENSPERGER


Address: 1060 E Foothill Blvd Ste 202, Upland, CA 91786-4017
Phone: 9099490220

IRENE KAE ENZENSPERGER (NPI# 1174693659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174693659
Entity Type Individual
Full Name IRENE KAE ENZENSPERGER
Other Name IRENE KAE SIRIKARANUN
Credential MD
Practice Address 1060 E Foothill Blvd Ste 202
Upland
CA 91786-4017
Practice Telephone 9099490220
Practice Fax Number 9099490309
Mailing Telephone 9099490220
Mailing Fax Number 9099490309
Enumeration Date 2006-11-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine G23211 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G232110 05

Office Location

Street Address 1060 E FOOTHILL BLVD STE 202
City UPLAND
State CA
Zip Code 91786-4017

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1003386608 Devin A Lockett Counselor 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 2018-11-27
1265900096 Right Ride Driver 1023 West Arrow Hwy Apt A, Upland, CA 91786 2018-11-09
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1972099521 Sadeg Aldolaim Nurse Practitioner 2086 W Arrow Route, Apt 824, Upland, CA 91786 2018-07-06
1831607332 Sandra Sun Pharmacist 1445 E. Foothill Blvd., Upland, CA 91786 2018-01-18
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205435864 Montana Affinity LLC Family Medicine 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 2020-10-23
1508304544 Romeo Samouh Md Inc Family Medicine 811 E 11th St Ste 102, Upland, CA 91786-4872 2017-02-10
1396064390 Khin T Htun Family Medicine 600 N 13th Ave Ste 150, Upland, CA 91786 2010-05-31
1720304207 Nader Sawiris Family Medicine 367 N 2nd Ave, Upland, CA 91786-6006 2010-04-09
1669677365 Syed Muhammad Hammad Rizvi Family Medicine 901 San Bernardino Rd Ste 104, Upland, CA 91786-4993 2007-06-20
1063613578 Sandar Win Family Medicine 811 E 11th St Ste 205, Upland, CA 91786-4872 2007-05-30
1902959075 Clinica Guadalupana De Ontario Med Grp Family Medicine 308 N 2nd Ave, Upland, CA 91786-8325 2007-01-19
1508920489 Robert West Md Inc Family Medicine 600 N 13th St Ste 150, Upland, CA 91786-4905 2006-12-21
1093883886 Asha Nayak Ubhayakar Family Medicine 1157 West 22nd Street, Upland, CA 91784 2006-12-01
1942379987 Timothy J Dauwalder Family Medicine 1113 Alta Ave Ste 106, Upland, CA 91786-2803 2006-11-06
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Competitor

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City UPLAND
Zip Code 91786

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Dataset Information

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.

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