JENNIFER KRASNOFF (NPI# 1548342934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548342934 |
Entity Type | Individual |
Full Name | JENNIFER KRASNOFF |
Credential | MD |
Practice Address |
500 Alfred Nobel Dr Suite 245 Hercules CA 94547-1838 |
Practice Telephone | 5107417418 |
Mailing Telephone | 5107417418 |
Enumeration Date | 2006-10-19 |
Last Update Date | 2008-05-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | RAILROAD MEDICARE | 070012650 | 01 |
CA | BCBS | 943304071 | 01 |
Street Address |
500 ALFRED NOBEL DR SUITE 245 |
City | HERCULES |
State | CA |
Zip Code | 94547-1838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245205632 | Jonathan J Uy | Podiatrist | 500 Alfred Nobel Dr, Suite 265, Hercules, CA 94547-1838 | 2006-02-21 |
1437600723 | Sarabjeet Singh | Dentist | 500 Alfred Nobel Dr, 130, Hercules, CA 94547-1838 | 2016-10-21 |
1225588395 | Mencita Dabu Masangkay Dmd Inc. | Dentist | 500 Alfred Nobel Dr, Suite 145, Hercules, CA 94547-1838 | 2016-10-12 |
1578817961 | Douglas Lin, Dds, Inc | Dentist | 500 Alfred Nobel Dr, Suite 130, Hercules, CA 94547-1838 | 2012-11-06 |
1396037263 | Victor Cp Kerenyi | Chiropractor | 500 Alfred Nobel Dr, Suite 175, Hercules, CA 94547-1838 | 2011-05-10 |
1427223379 | Elizabeth Posadas Mora | Dentist | 500 Alfred Nobel Dr, Suite 180, Hercules, CA 94547-1838 | 2008-04-22 |
1003005349 | T. Nguyen, Dds, Corporation | Preferred Provider Organization | 500 Alfred Nobel Dr, 285, Hercules, CA 94547-1838 | 2007-10-23 |
1235257197 | Yee Fong Chen | Acupuncturist | 500 Alfred Nobel Dr, Suite # 220, Hercules, CA 94547-1838 | 2007-03-27 |
1124143227 | Oksana M Peters | Physician Assistant | 500 Alfred Nobel Dr, Suite 245, Hercules, CA 94547-1838 | 2007-03-20 |
1023145273 | Ashley Huong Ho | Dentist | 500 Alfred Nobel Dr, Suite # 165, Hercules, CA 94547-1838 | 2007-02-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134768286 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4080 San Pablo Ave, Hercules, CA 94547 | 2020-01-06 |
1407415144 | Julita Chinyere Agwumezie | Pharmacist | 1590 Sycamore Avenue, Hercules, CA 94547 | 2019-06-06 |
1730545666 | Evelyn Gomez | Behavioral Analyst | 115 Starling Way, Hercules, CA 94547 | 2016-01-07 |
1730572264 | Laith Anwar Yacoub | Pharmacist | 530 Silver Maple Dr., Hercules, CA 94547 | 2015-03-09 |
1396171526 | Yeun Joo Kim | Dentist | 9 Arete Court, Hercules, CA 94547 | 2013-09-19 |
1568751527 | Sophie Chen | Dentist | 500 Alfred Nobel Drive, Suite 130, Hercules, CA 94547 | 2011-03-30 |
1962654517 | Jason M. Hataye | Student in an Organized Health Care Education/Training Program | 572 Turquoise Drive, Hercules, CA 94547 | 2008-10-15 |
1649454802 | Lovely C. Manlapaz | Dentist | 844 Willow Avenue, Suite - A6, Hercules, CA 94547 | 2007-12-24 |
1386823805 | Vincent T Chen | Dentist | 500 Alfred Nobel Dr., Ste. 280, Hercules, CA 94547 | 2007-11-01 |
1902950132 | Leonard Alexander Newman | Ophthalmology | 500 Alfred Noble Dr, Ste 225, Hercules, CA 94547 | 2007-01-23 |
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Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871027136 | Mike Wai Lin | Specialist | 411 Turquoise Dr, Hercules, CA 94547-1740 | 2017-04-13 |
1134125578 | John Compagno | Specialist | 712 Alfred Nobel Dr, Hercules, CA 94547-1805 | 2005-06-21 |
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1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.