Evan Samuel Krasner, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

042-0010221 Issued in VT

Practice address

506 Liberty St
El Cerrito, CA 94530-3619

Phone

(510) 221-7756

NPI assigned

May 27, 2008

Last updated

Jan 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• D Halpren Ruder Inc

  dba Urgent Medical Care

  • Urgent Care Clinic/Center
  • Smithfield, RI
  • NPI 1386610921
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1073771036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 LIBERTY ST",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303619",
            "telephone_number": "510-221-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LIBERTY ST",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945303619",
            "telephone_number": "510-221-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNER",
        "first_name": "EVAN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "042-0010221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vineet Raj Khehra, DDS
• Tee Kimmons
• Joan Helene Klein, LCSW
• Richard Kevin Koenig, PSY.D
• Christine Koh, P.T.
• Jenny Lacy
• Barbara Gail Altschuler Large
• Liv Larson, PHARMD0
• Firoozeh - Lavassani, D.D.S
• Kristin Lavelle, OTR/L, CHT

• Internal Medicine Physician in El Cerrito, CA
• Providers in El Cerrito, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.