Active NPI
Kenneth Dale Krone, M.D.
- Diagnostic Radiology Physician
- Avila Beach, CA
National Provider Identifier
1639175672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G23988
- Practice address
- 2845 Rock Wren LN
Avila Beach, CA 93424-3536 - Phone
- (805) 627-1713
- Fax
- (888) 691-8259
- NPI assigned
- Jun 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G23988 | CA | Primary |
Addresses
Primary practice location
2845 Rock Wren LN
Avila Beach, CA 93424-3536
Mailing address
PO Box 2605
Avila Beach, CA 93424-2605
Phone (805) 627-1713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G239880 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G23988 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Imaging Associates Medical Group Professional Corporation | Diagnostic Radiology | Past | Accepting new patients |
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.
-
- Radiology Clinic/Center
- Clovis, CA
- NPI 1336165752
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1639175672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2605",
"city": "AVILA BEACH",
"state": "CA",
"postal_code": "934242605",
"telephone_number": "805-627-1713",
"fax_number": "888-691-8259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 ROCK WREN LN",
"city": "AVILA BEACH",
"state": "CA",
"postal_code": "934243536",
"telephone_number": "805-627-1713",
"fax_number": "888-691-8259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRONE",
"first_name": "KENNETH",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G23988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G239880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avila Beach, CA
- Equine Awakenings, Inc. (Center For Awakenings)
- Kelly Givan, BCBA
- Michael Reynolds Harris, LMFT
- Integrated Acupuncture Services, a Professional Corporation
- Timothy Hollister Jones, MD
- Lapidus Clinic PC (The Lapidus Clinic)
- Yelena S Lapidus, MD
- Jessica Jo Lieland, P.A.
- Mary Jane Mees, L.AC. DAOM
- Michael Harris LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.