Healthcare Provider Details

I. General information

NPI: 1598183642
Provider Name (Legal Business Name): KATELIN KRAMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2014
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE BOX 0110
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

1975 4TH ST FL 3
SAN FRANCISCO CA
94143-2351
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-1000
  • Fax:
Mailing address:
  • Phone: 153-531-5654
  • Fax: 415-353-1202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA143200
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA143200
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: