Charles Gerard Kryski, M.D.

Individual provider Active NPI Family Medicine Physician · Yuba City, CA

NPI 1164447447 · NPPES record last updated Dec 11, 2018

Key facts

NPI
1164447447
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
G21063 (CA)
Practice address
1275 Tharp Rd
Yuba City, CA 95993-2645
Phone
(530) 749-3242
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G21063CAMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G21063 CA Yes

Addresses

Primary practice location

1275 Tharp Rd
Yuba City, CA 95993-2645

Mailing address

1114 Yuba St
RM 144
Marysville, CA 95901-4838
Phone (530) 749-3242

Other providers in Yuba City, CA

All providers in Yuba City, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.