Individual provider Active NPI

Warren Everett Klausner, DO

  • Family Medicine Physician
  • Santa Cruz, CA
National Provider Identifier
1093931834
Registry record updated Nov 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6722 Issued in CA
Practice address
129 Jewell St
Santa Cruz, CA 95060-1717
Phone
(831) 420-1400
Fax
(831) 420-1401
NPI assigned
Apr 18, 2007
Last updated
Nov 1, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6722 CA Primary

Addresses

Primary practice location

129 Jewell St
Santa Cruz, CA 95060-1717

Mailing address

129 Jewell St
Santa Cruz, CA 95060-1717
Phone (831) 420-1400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000587 CA Practitioner - Osteopathic Manipulative Medicine 8022203074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
College of Osteo Med of the Pacific at Pomona, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

129 Jewell St
Santa Cruz, CA 95060-1717
Phone (831) 420-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6722CAMDFamily Medicine Physician
6722CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Klausner Corporation CurrentSince Jul 1, 2010 Accepting new patients

Locations

129 Jewell St
Santa Cruz, CA 95060
Phone (831) 420-1400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257033600000",
    "number": "1093931834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 JEWELL ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601717",
            "telephone_number": "831-420-1400",
            "fax_number": "831-420-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 JEWELL ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601717",
            "telephone_number": "831-420-1400",
            "fax_number": "831-420-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAUSNER",
        "first_name": "WARREN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2009-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.