Individual provider Active NPI

Timothy Krasnansky

  • Veterinarian
  • Sacramento, CA
National Provider Identifier
1417367269
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
14042 Issued in CA
Practice address
1 Valine CT
Sacramento, CA 95831-1603
Phone
(916) 391-3677
NPI assigned
May 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 14042 CA Primary

Addresses

Primary practice location

1 Valine CT
Sacramento, CA 95831-1603

Mailing address

1 Valine CT.
Sacramento, CA 95831

Other identifiers 1

IdentifierTypeStateIssuer
14042OtherCACA STATE VETERINARY LICENSE

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1417367269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VALINE CT.",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VALINE CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958311603",
            "telephone_number": "916-391-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASNANSKY",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "CA",
            "license": "14042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE VETERINARY LICENSE",
            "identifier": "14042",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.