Active NPI
Courtney Alyson Kraske
- Internal Medicine Physician
- Long Beach, CA
National Provider Identifier
1396457602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 95022600
- Practice address
- 2801 Atlantic Ave
Long Beach, CA 90806-1701 - Phone
- (562) 933-2000
- NPI assigned
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95022600 | CA | |
| Internal Medicine Physician | 207R00000X | 95022600 | CA | Primary |
Addresses
Primary practice location
2801 Atlantic Ave
Long Beach, CA 90806-1701
Mailing address
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 728-5034
Merit-based Incentive Payment System (MIPS)
- Final score
- 38.53 of 100
- Quality
- 20.07
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 75.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| Prohealth Partners, a Medical Group | Internal Medicine | Current | Accepting new patients |
| Prohealth Partners, a Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Prohealth Partners a Medical Group | Current | Accepting new patients | |
| Prohealth Partners a Medical Group Inc | Internal Medicine | Past | Accepting new patients |
| Friendly Care Medical Group Inc | Internal Medicine | Past | Accepting new patients |
Locations
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
File 54567
Los Angeles, CA 90074
Phone (310) 491-9060
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1003949975
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Family Medicine Physician
- Torrance, CA
- NPI 1609226877
-
- Internal Medicine Physician
- Pico Rivera, CA
- NPI 1912899394
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1538227608
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1093848509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1396457602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061701",
"telephone_number": "562-933-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061701",
"telephone_number": "562-933-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRASKE",
"first_name": "COURTNEY",
"middle_name": "ALYSON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95022600",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "95022600",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2801 Atlantic Ave",
"city": "Long Beach",
"state": "CA",
"country_code": "US",
"postal_code": "908061701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.