Provider Demographics
NPI:1134283625
Name:KAPLAN, ERNEST N (MD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:N
Last Name:KAPLAN
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 1:1515 EL CAMINO REAL
Mailing Address - Street 2:SUITE D
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1052
Mailing Address - Country:US
Mailing Address - Phone:650-327-5653
Mailing Address - Fax:650-327-5107
Practice Address - Street 1:1515 EL CAMINO REAL
Practice Address - Street 2:SUITE D
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1052
Practice Address - Country:US
Practice Address - Phone:650-327-5653
Practice Address - Fax:650-327-5107
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA21606174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA21606OtherSTATE LICENSE
CAAK2024836OtherDEA