Provider Demographics
NPI:1316450885
Name:KRPALEK, JOSEPH THEODORE (PA-C)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:THEODORE
Last Name:KRPALEK
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11455 ASTER ST
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3401
Mailing Address - Country:US
Mailing Address - Phone:909-921-6999
Mailing Address - Fax:
Practice Address - Street 1:4368 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2918
Practice Address - Country:US
Practice Address - Phone:951-742-7324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-07
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical