Active NPI
Walter Krampf, MD
- Internal Medicine Physician
- Guerneville, CA
National Provider Identifier
1780680314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G17248
- Practice address
- 16319 Third Street
Guerneville, CA 95446 - Phone
- (707) 869-2849
- Fax
- (707) 869-1477
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G17248 | CA | Primary |
Addresses
Primary practice location
16319 Third Street
Guerneville, CA 95446
Mailing address
PO Box 1449
Guerneville, CA 95446-1449
Phone (707) 869-2849
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ73222Z | Other | MEDICARE PART B | |
| 00G17248 | Medicaid | CA | |
| 1356344758 | Other | CA | MEDICARE |
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 |
|---|---|---|---|
| G17248 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1780680314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1449",
"city": "GUERNEVILLE",
"state": "CA",
"postal_code": "954461449",
"telephone_number": "707-869-2849",
"fax_number": "707-869-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16319 THIRD STREET",
"city": "GUERNEVILLE",
"state": "CA",
"postal_code": "95446",
"telephone_number": "707-869-2849",
"fax_number": "707-869-1477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMPF",
"first_name": "WALTER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G17248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "ZZZ73222Z",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G17248",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1356344758",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Guerneville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.