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Deactivated NPI 1396948279 Deactivated / Inactive NPI Male Practitioner

Dr. John Louis Kruggel , MD

Surgery - Plastic and Reconstructive Surgery • Poway, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Kruggel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 07, 2007
NPI Deactivation Date June 19, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. John Kruggel, MD was a registered Surgery - Plastic and Reconstructive Surgery practicing in Poway, CA. Throughout an active medical career spanning 11 years, Dr. Kruggel provided care at the practice location at 15904 RANCH HOLLOW ROAD until profile deactivation on 2018-06-19.

Practice Location & Contact Primary Location

Practice Address

15904 Ranch Hollow Road

Poway, CA 92064

Telephone 8584863818

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Poway, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Poway, CA (381 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License CA C-22837

A surgeon who specializes in plastic and reconstructive surgery.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 19, 2018

Record deactivated on June 19, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 15904 RANCH HOLLOW ROAD, POWAY, CA 92064 (Tel: 8584863818)

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Updated Business Mailing Address July 08, 2007

Registered at 15904 RANCH HOLLOW ROAD, POWAY, CA 92064 (Tel: 8584863818)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN KRUGGEL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #C-22837 in CA)

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Initial NPI Registration & Enumeration June 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396948279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2007
Last Update: July 08, 2007
Deactivation Date: June 19, 2018

Mailing Address

15904 Ranch Hollow Road

Poway, CA 92064

Phone: 8584863818

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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