Individual provider Active NPI

Yvette Prado Kratzberg, M.D.

  • Pediatrics Physician
  • Mountain View, CA
National Provider Identifier
1558547752
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A68830 Issued in CA
Practice address
2465 Latham St Ste 300
Mountain View, CA 94040-4792
Phone
(650) 268-9806
NPI assigned
Jan 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A68830 CA Primary

Addresses

Primary practice location

2465 Latham St Ste 300
Mountain View, CA 94040-4792

Mailing address

2239 Port Lerwick PL
Newport Beach, CA 92660-5424
Phone (949) 640-4003

Other practice location 1

2239 Port Lerwick Pl
Newport Beach, CA 92660-5424
Phone (949) 640-4003

Other practice location 2

2125 Santa Fe Ave
Long Beach, CA 90810-3547
Phone (562) 432-9590

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210928003631 CA Practitioner - Pediatric Medicine 9537566856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A68830CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtap Medical Group, P.C. CurrentSince May 20, 2021 Accepting new patients

Locations

2465 Latham St
Ste 300
Mountain View, CA 94040
Phone (650) 268-9806

Dept LA 25281
Pasadena, CA 91185

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1558547752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 PORT LERWICK PL",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605424",
            "telephone_number": "949-640-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 LATHAM ST STE 300",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404792",
            "telephone_number": "650-268-9806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2239 Port Lerwick Pl",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926605424",
            "country_code": "US",
            "telephone_number": "949-640-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2125 Santa Fe Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908103547",
            "country_code": "US",
            "telephone_number": "562-432-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRATZBERG",
        "first_name": "YVETTE",
        "middle_name": "PRADO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A68830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.