Provider Demographics
NPI:1518170562
Name:ON CALL INC
Entity Type:Organization
Organization Name:ON CALL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KREIFELDT
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:619-461-7277
Mailing Address - Street 1:4215 SPRING ST
Mailing Address - Street 2:SUITE 125
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-7965
Mailing Address - Country:US
Mailing Address - Phone:619-461-7277
Mailing Address - Fax:619-461-7278
Practice Address - Street 1:4215 SPRING ST
Practice Address - Street 2:SUITE 125
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-7965
Practice Address - Country:US
Practice Address - Phone:619-461-7277
Practice Address - Fax:619-461-7278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0103230Medicaid
CAW18629Medicare PIN