Organization Active NPI

Peter Alan Krause Medical Corporation

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1265849772
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C128885 Issued in CA
Legal business name
PETER ALAN KRAUSE MEDICAL CORPORATION
Practice address
2151 S College Dr
Suite 203
Santa Maria, CA 93455-1302
Phone
(414) 630-8683
NPI assigned
Jul 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Dr. Peter Alan Krause, M.D.NPI 1073534442
Title
Owner
Phone
(414) 630-8683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X C128885 CA Primary

Addresses

Primary practice location

2151 S College Dr
Suite 203
Santa Maria, CA 93455-1302

Mailing address

2151 S College Dr
Suite 203
Santa Maria, CA 93455-1302
Phone (414) 630-8683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140903001886 CA Part B Supplier - Clinic/Group Practice 4688892698 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Maria, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2085176Peter Alan Krause Medical Corporation2151 S College Dr Ste 203, Santa Maria, CA 93455Provider-performed microscopyOct 7, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9491/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1265849772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S COLLEGE DR",
            "address_2": "SUITE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551302",
            "telephone_number": "414-630-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S COLLEGE DR",
            "address_2": "SUITE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551302",
            "telephone_number": "414-630-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER ALAN KRAUSE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-630-8683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C128885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.