Provider Demographics
NPI:1477580595
Name:KRAUS, JAMES AARON (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:AARON
Last Name:KRAUS
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 1:917 OAKDALE RD
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-4593
Mailing Address - Country:US
Mailing Address - Phone:209-558-7248
Mailing Address - Fax:209-558-8723
Practice Address - Street 1:401 PARADISE RD
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95351-3163
Practice Address - Country:US
Practice Address - Phone:209-558-4000
Practice Address - Fax:209-558-6033
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA91537207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFK7061257OtherDEA
CA00A915370Medicare ID - Type Unspecified
CAI55814Medicare UPIN