Active NPI
Patricia Alison Kreshin, MD
- Psychiatry Physician
- Larkspur, CA
National Provider Identifier
1003966490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G61314
- Practice address
- 42 Orange Ave
Larkspur, CA 94939-1926 - Phone
- (415) 927-0228
- Fax
- (415) 927-0228
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G61314 | CA | Primary |
Addresses
Primary practice location
42 Orange Ave
Larkspur, CA 94939-1926
Mailing address
42 Orange Ave
Larkspur, CA 94939-1926
Phone (415) 927-0228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G613141 | Medicaid | CA |
Other names 1
- Alison Kreshin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120315000154 | CA | Practitioner - Psychiatry | 3274792981 | Practice locations: Larkspur, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Virginia Commonwealth University, School of Medicine, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
42 Orange Ave
Larkspur, CA 94939-1926
Phone (415) 377-3501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61314 | CA | MD | Pharmacist |
| G61314 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1003966490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 ORANGE AVE",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391926",
"telephone_number": "415-927-0228",
"fax_number": "415-927-0228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 ORANGE AVE",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391926",
"telephone_number": "415-927-0228",
"fax_number": "415-927-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRESHIN",
"first_name": "PATRICIA",
"middle_name": "ALISON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G61314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G613141",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALISON",
"last_name": "KRESHIN",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Larkspur, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.