Provider Demographics
NPI:1427167634
Name:KRATZER, JAMES (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:KRATZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 N FRESNO ST STE 104
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-4340
Mailing Address - Country:US
Mailing Address - Phone:559-438-4100
Mailing Address - Fax:559-447-4496
Practice Address - Street 1:7501 N FRESNO ST STE 104
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-4340
Practice Address - Country:US
Practice Address - Phone:559-438-4100
Practice Address - Fax:559-447-4496
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG33867208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G338670Medicaid
CA00G338670Medicare ID - Type Unspecified
CAA45705Medicare UPIN