Craig P Klooster DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3194 Issued in CA

Legal business name

CRAIG P KLOOSTER DPM PC

Practice address

5700 Stoneridge Mall Rd
Craig P Klooster DPM PC Suite 120
Pleasanton, CA 94588

Phone

(925) 460-0681

Fax

(925) 460-5158

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Craig Phillip Klooster, DPM

Title

President

Phone

(925) 460-0681

Specialties & licenses 1

Addresses

Other names 1

• Foot Doctor of Pleasanton Former legal business name

Locations

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1295843985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 STONERIDGE MALL RD",
            "address_2": "CRAIG P KLOOSTER DPM PC SUITE 120",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94588",
            "telephone_number": "925-460-0681",
            "fax_number": "925-460-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 STONERIDGE MALL RD",
            "address_2": "CRAIG P KLOOSTER DPM PC SUITE 120",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94588",
            "telephone_number": "925-460-0681",
            "fax_number": "925-460-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG P KLOOSTER DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "KLOOSTER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-460-0681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Doctor of Pleasanton",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• County of Alameda
• Liza Mariem Emilie Courbot Marquie, M ED, BCBA
• Christopher Cousens
• Maxine Covello
• William J. Cox, CPO
• Sierra Craig, OTR/L
• Timothy Crawford, AMFT
• Creekview HC LLC
• Sara Kay Crispen
• Tasha Crljenica-Moad, LMFT

• Podiatrist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.