Active NPI
Kathryn Rose Wolf, M.D.
- Surgery Physician
- Lemoore, CA
National Provider Identifier
1801235254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101256954
- Practice address
- 937 Franklin Blvd
Lemoore, CA 93246-4700 - Phone
- (559) 998-4265
- Fax
- (559) 998-0252
- NPI assigned
- Jun 19, 2013
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 0101256954 | VA | Primary |
Addresses
Primary practice location
937 Franklin Blvd
Lemoore, CA 93246-4700
Mailing address
937 Franklin Blvd
Lemoore, CA 93246-4700
Phone (559) 998-4265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141230002303 | DC | Order and Referring Only - General Surgery | 3870816614 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101256954 | VA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1801235254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "937 FRANKLIN BLVD",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932464700",
"telephone_number": "559-998-4265",
"fax_number": "559-998-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 FRANKLIN BLVD",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932464700",
"telephone_number": "559-998-4265",
"fax_number": "559-998-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "KATHRYN",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101256954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lemoore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.