MEDICARE: DR. JOHN ANDREW KREMER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G47884	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G47884	OTHER	CA	MEDICAL LICENSE

General Provider Information

NPI Number	:	1427160498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN ANDREW KREMER MD

Provider Business Mailing Address
First Line	:	35 OAK MANOR CT
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-1779
Country	:	US
Telephone Number	:	530-342-7538
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 OAK MANOR CT
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-1779
Country	:	US
Telephone Number	:	530-342-7538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/07/2023

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