Santa Clara Co Ipa

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Legal business name

SANTA CLARA CO IPA

Practice address

1051 E. Hillsdale Blvd
Suite 750
Foster City, CA 94404-1640

Phone

(650) 358-5834

Fax

(650) 577-9830

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. J. Kersten Kraft, M.D.

Title

President

Phone

(650) 358-5834

Specialties & licenses 1

Addresses

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1902930381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 E. HILLSDALE BLVD",
            "address_2": "SUITE 750",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041640",
            "telephone_number": "650-358-5834",
            "fax_number": "650-577-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 E. HILLSDALE BLVD",
            "address_2": "SUITE 750",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041640",
            "telephone_number": "650-358-5834",
            "fax_number": "650-577-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CLARA CO IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "KERSTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-358-5834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ph.D. Medical Genetics in Foster City, CA
• Providers in Foster City, CA by specialty
• Ph.D. Medical Genetics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.