DR. ROBERT R TREUHERZ (NPI# 1194796151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194796151 |
| Entity Type | Individual |
| Full Name | DR. ROBERT R TREUHERZ |
| Credential | MD |
| Practice Address |
23739 Lake Drive Ste 101 Crestline CA 92325 |
| Mailing Address |
Po Box 117 Cedar Glen CA 92321-0117 |
| Practice Telephone | 9092738779 |
| Practice Fax Number | 8885077087 |
| Mailing Telephone | 9092738779 |
| Mailing Fax Number | 9097449940 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2018-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME61470 | FL | Other Service Providers |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
ME61470 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
A44467 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA | FT6603268 | 01 |
| CA | DEA | XT6603268 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29104 Bald Eagle Ridge Dr, Lake Arrowhead, CA 923520117 | 9092738779 | 8885077087 |
| 29099 Hospital Road, Suite 112b, Lake Arrowhead, CA 92352 | 9097449920 | 9097449940 |
| Street Address |
23739 LAKE DRIVE STE 101 |
| City | CRESTLINE |
| State | CA |
| Zip Code | 92325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707672 | Yvonne Marie Luna | Massage Therapist | 25268 Ca-18, Crestline, CA 92325 | 2020-03-27 |
| 1427600451 | Joelle Jacobs | Marriage & Family Therapist | 340 Ca-138 Highway, Crestline, CA 92325 | 2019-07-10 |
| 1497215420 | Jeffrey Dean Whitney | Behavior Technician | 22792 Laurel Ln, Crestline, CA 92325 | 2019-03-25 |
| 1801352869 | Jayne M Schuljak | Student in an Organized Health Care Education/Training Program | 23406 Crestforest Dr, Crestline, CA 92325 | 2019-02-14 |
| 1841766953 | Daniel Scott Ferryman | Student in an Organized Health Care Education/Training Program | 23406 Crest Forest Dr., Crestline, CA 92325 | 2018-10-16 |
| 1215440607 | Lori Jean Butler | Case Manager/Care Coordinator | 340 State Highway 138, Crestline, CA 92325 | 2017-11-08 |
| 1164965133 | Monique Chatrisa | Counselor | 24174 Wabern Drive, Crestline, CA 92325 | 2016-11-23 |
| 1992256549 | Chelsea L Guest | Dentist | 23571 Lake Drive At Fern, Crestline, CA 92325 | 2016-10-19 |
| 1659724219 | Jean Sherman | Licensed Vocational Nurse | 23406 Crest Forest Dr, Crestline, CA 92325 | 2016-07-19 |
| 1619330081 | Charminade Mccoy | Physical Therapy Assistant | 1060 Playground Rd, Crestline, CA 92325 | 2016-04-01 |
| Find all providers in zip 92325 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902458540 | Medicus Telehealth Inc. | Internal Medicine | 180 N Rexford Dr, Beverly Hills, CA 90210-5406 | 2019-07-13 |
| 1962978114 | Samer Moghaddam Md, Apc | Internal Medicine | 902 N Grand Ave Ste 201, Santa Ana, CA 92701-4218 | 2018-10-15 |
| 1972009785 | William Supplee | Internal Medicine | 151 Calderon Ave Apt 96, Mountain View, CA 94041-1433 | 2018-04-02 |
| 1245767516 | Chemical Dependency Treatment Associates, Inc | Internal Medicine | 455 University Ave Ste 320, Sacramento, CA 95825-6580 | 2017-05-17 |
| 1568917367 | Mjc Hospitalist Group, Inc. | Internal Medicine | 4615 Lemona Ave, Sherman Oaks, CA 91403-2428 | 2016-08-22 |
| 1073962171 | Faried Banimahd Md Inc | Internal Medicine | 1533 E 4th St Ste 4, Santa Ana, CA 92701-5115 | 2016-06-09 |
| 1467827683 | 360 Recovery Inc | Internal Medicine | 23986 Aliso Creek Rd Ste 226, Laguna Niguel, CA 92677-3908 | 2015-12-14 |
| 1841665254 | Kpg California, LLC | Internal Medicine | 9000 W Sunset Blvd Ste 1500, West Hollywood, CA 90069-5815 | 2015-12-10 |
| 1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1730561861 | Synergy Lifestyle Center, Inc. | Internal Medicine | 7910 Downing Ave Ste 200, Bakersfield, CA 93308-5016 | 2015-06-25 |
| Find all providers with the same taxonomy | ||||
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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.