Active NPI
Robert Steven Kratz
- Speech-Language Pathologist
- Upland, CA
National Provider Identifier
1992072870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9277
- Practice address
- 248 N 10TH Ave
Upland, CA 91786-5431 - Phone
- (909) 938-1293
- NPI assigned
- Nov 21, 2011
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9277 | CA | Primary |
Addresses
Primary practice location
248 N 10TH Ave
Upland, CA 91786-5431
Mailing address
248 N 10TH Ave
Upland, CA 91786-5431
Phone (909) 938-1293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9277 | Medicaid | CA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9277 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1992072870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 N 10TH AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865431",
"telephone_number": "909-938-1293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 N 10TH AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865431",
"telephone_number": "909-938-1293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRATZ",
"first_name": "ROBERT",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-21",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "9277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9277",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.