Kristen T Razner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

58812 Issued in CA

Practice address

300 W MC Kinley Ave Ste F110
Sunnyvale, CA 94086-6111

Phone

(920) 979-8127

NPI assigned

Nov 3, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Dermatology Group LTD

  • Dermatology Physician
  • Iron Mountain, MI
  • NPI 1710321633
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1043811409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MORELAND WAY APT 3207",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950545111",
            "telephone_number": "920-979-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MC KINLEY AVE STE F110",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940866111",
            "telephone_number": "920-979-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZNER",
        "first_name": "KRISTEN",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5285-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seymour Alvin Rapaport, M.D.
• Shilpi Ratra, O.D.
• Surya Ravi Shanthi
• Kavitha Ravi, DDS
• Jennifer Rawlins, PT,DPT
• Reachpoint Community Education & Services
• Realign Therapy Massage Center (RTMC) L.L.C.
• Bernard Recht, M.D.
• Reeves, D.D.S. and Lavalley, D.D.S., a Dental Corporation
• Refine Dry Eye Center of Silicon Valley, an Optometric Corporation

• Physician Assistant in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.