Crane Street Dermatology
Dermatology in Menlo Park, CA. Organization (NPI-2).
NPI number1801293154
StatusActive
Last updated in NPPESDec 2, 2014
Details
- NPI
- 1801293154
- Entity type
- Organization (NPI-2)
- Legal business name
- Crane Street Dermatology
- Organization subpart
- No
- Enumeration date
- Dec 2, 2014
- Last updated
- Dec 2, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
1225 Crane StSuite 102
Menlo Park, CA 94025-4257
Phone 650-323-0276 · Fax 702-921-6828
Mailing address
1225 Crane StSuite 102
Menlo Park, CA 94025-4257
Phone 650-323-0276 · Fax 702-921-6828
Authorized official
Recia Blumenkranz
President
6503230276
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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