DR. KIRK JOHN RAEBER D.O. NPI 1417984931

NPI Information

  • NPI: 1417984931
  • Provider Name: DR. KIRK JOHN RAEBER, D.O.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 435 H ST
    CHULA VISTA, CA
    ZIP 91910
  • Phone: (619) 691-7290

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NPI Details

DR. Kirk John Raeber, D.O. is an emergency medicine in Chula Vista, CA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Kirk John Raeber, D.O. NPI is 1417984931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

435 H ST
CHULA VISTA, CA
ZIP 91910-307
Phone: (619) 691-7290
Fax: (619) 691-7432

The NPI 1417984931 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 3/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine20A4463CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W20A4463AMEDICARE PIN
2W20A4463MEDICARE PINCALIFORNIA
300AX44630MEDICAIDCALIFORNIA
4B58244MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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