Kraetzer Shokoohy Healthcare

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A93966 Issued in CA

Legal business name

KRAETZER SHOKOOHY HEALTHCARE

Practice address

18837 Brookhurst St
106
Fountain Valley, CA 92708-7301

Phone

(714) 964-5911

NPI assigned

May 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Kraetzer, DCNPI 1770664476

Title

Partner

Phone

(714) 964-5911

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Kraetzer, D.C.

  • Chiropractor
  • Fountain Valley, CA
  • NPI 1770664476
  NPD (past) Authorized official
• Robert Kobus, D.C.

  • Chiropractor
  • Fountain Valley, CA
  • NPI 1780774844
  NPD (past)

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1861751976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 ROCKFIELD BLVD",
            "address_2": "B220",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182720",
            "telephone_number": "949-598-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18837 BROOKHURST ST",
            "address_2": "106",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087301",
            "telephone_number": "714-964-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAETZER SHOKOOHY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "KRAETZER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "714-964-5911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21027",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Koopman, DO
• Marie Noelle Kopaczewski, PT, DPT
• Rebecca Brianna Koppel, DPT
• Sharon Korchin, OT
• Sanford Gerry Koyama, O.D.
• Nicholas Kraetzer, D.C.
• Julie C Kramer, MSMFT
• Rachael I. Krause, M.D.
• Kristin Y. Nguyen, DDS, Ms, Inc
• Chelsea Krone

• Family Medicine Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.