Crane Street Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CRANE STREET DERMATOLOGY

Practice address

1225 Crane St
Suite 102
Menlo Park, CA 94025-4257

Phone

(650) 323-0276

Fax

(702) 921-6828

NPI assigned

Dec 2, 2014

Last updated

Dec 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Recia Blumenkranz, MD

Title

President

Phone

(650) 323-0276

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audrey Szep Fetch, M.D.

  • Dermatology Physician
  • Menlo Park, CA
  • NPI 1093158495
  Medicare reassignment Care Compare group NPD
• Mary Sheu, MD

  • Dermatology Physician
  • Menlo Park, CA
  • NPI 1659338705
  Medicare reassignment Care Compare group NPD
• Qisi Sun, MD

  • Dermatology Physician
  • Palo Alto, CA
  • NPI 1093396665
  Medicare reassignment Care Compare group NPD
• Mark Blumenkranz, M.D.

  • Ophthalmology Physician
  • Stanford, CA
  • NPI 1114085636
  NPD (past)
• Melinda Ann Longaker, MD

  • Clinical & Laboratory Dermatological Immunology Physician
  • Menlo Park, CA
  • NPI 1902997430
  NPD (past)

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1801293154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CRANE ST",
            "address_2": "SUITE 102",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254257",
            "telephone_number": "650-323-0276",
            "fax_number": "702-921-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CRANE ST",
            "address_2": "SUITE 102",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254257",
            "telephone_number": "650-323-0276",
            "fax_number": "702-921-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANE STREET DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "BLUMENKRANZ",
        "authorized_official_first_name": "RECIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-323-0276",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of San Mateo (San Mateo Medical Center)
• Couples Institute Counseling Services a Marriage and Family Therapy Co
• Kimberly Michelle Courtney, PT, DPT
• Pamela Louise Courtright
• Mayra Leon Cramer, M.S., CCC-SLP
• Caroline Cranwell-Calleros, RPH
• Eric Floyd Crawford, PH.D.
• Shannon David Crawford, MD
• Diane Melissa Criscuolo, NP
• Cristina Cojocaru, DO, a PC (Balance Osteopathic Clinic)

• Dermatology Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.