Kenneth Krantz, M.D., PHD.

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

License

G39227 Issued in CA

Practice address

204 E 2ND Ave
Suite 519
San Mateo, CA 94401-3963

Phone

(650) 888-9639

Fax

(650) 401-6611

NPI assigned

Nov 15, 2015

Last updated

Nov 15, 2015By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1447545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447545600000",
    "number": "1073987087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 2ND AVE",
            "address_2": "SUITE 519",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013963",
            "telephone_number": "650-888-9639",
            "fax_number": "650-401-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 2ND AVE",
            "address_2": "SUITE 519",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013963",
            "telephone_number": "650-888-9639",
            "fax_number": "650-401-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANTZ",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-15",
        "last_updated": "2015-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "CA",
            "license": "G39227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Man Lai Koon, O,T,
• Vivian Koroluk
• Sarah Rose Korsunsky, LCSW
• Ricky Kot
• Danielle M Kozak Joy, APNP
• Andrew Dean Kraskin
• Michael Krechevsky
• Rachel S Krellenstein
• Joseph Krezanoski
• Lee Anne Kromhout

• Research Study Specialist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Research Study Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2015; 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.