Provider Demographics
NPI:1336237254
Name:KAPLAN, NANCY L (DPM)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:#100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:800-470-0071
Mailing Address - Fax:
Practice Address - Street 1:2702 LOW CT
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-9727
Practice Address - Country:US
Practice Address - Phone:707-432-2600
Practice Address - Fax:707-432-2601
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4194213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E41940Medicaid
000E41941Medicare ID - Type Unspecified
U54172Medicare UPIN
CAAP320VMedicare PIN