Healthcare Provider Details

I. General information

NPI: 1427167634
Provider Name (Legal Business Name): JAMES KRATZER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5479 N FRESNO ST STE 104
FRESNO CA
93710-8328
US

IV. Provider business mailing address

PO BOX 3091
MODESTO CA
95353-3091
US

V. Phone/Fax

Practice location:
  • Phone: 559-438-4100
  • Fax: 559-447-4496
Mailing address:
  • Phone: 209-482-1902
  • Fax: 209-575-4598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG33867
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: