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CRAIG P KLOOSTER DPM PC NPI 1295843985


NPI Information

NPI: 1295843985
Provider Name: CRAIG P KLOOSTER DPM PC

Former Legal Business Name: FOOT DOCTOR OF PLEASANTON

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
5700 STONERIDGE MALL RD
CRAIG P KLOOSTER DPM PC SUITE 120
PLEASANTON, CA
ZIP 94588
Phone: (925) 460-0681
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CRAIG P KLOOSTER DPM PC is a podiatrist in Pleasanton, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. CRAIG P KLOOSTER DPM PC NPI is 1295843985. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Foot Doctor Of Pleasanton.

The provider's business location address is:

5700 STONERIDGE MALL RD
CRAIG P KLOOSTER DPM PC SUITE 120
PLEASANTON, CA
ZIP 94588
Phone: (925) 460-0681
Fax: (925) 460-5158

The provider's authorized official is Craig Phillip Klooster .
The authorized official title is President and has the following contact phone number (925) 460-0681.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 4/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristE3194CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ06585ZMEDICARE PINCALIFORNIA
2ZZZ06584ZMEDICARE PINCALIFORNIA
3T11573MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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