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DR. JEFFREY MALCOLM KRAUT M.D.
NPI 1285657189
Pediatrics - Adolescent Medicine in Fort Bragg, CA

Active since July 25, 2006
510 CYPRESS ST STE D, FORT BRAGG, CA 95437(707) 964-5696(707) 964-6274 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey Malcolm Kraut M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY MALCOLM KRAUT M.D. (NPI 1285657189) is an individual adolescent medicine provider in Fort Bragg, California, licensed in California (G21238) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1285657189
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. JEFFREY MALCOLM KRAUTCredential: M.D.
Location Address510 CYPRESS ST STE DFort Bragg, CA 95437-5411
Mailing Address510 Cypress St Ste DFort Bragg, CA 95437-5411 · (707) 964-5696 · Fax (707) 964-6274
Phone(707) 964-5696
Fax(707) 964-6274
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285657189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in CA · G21238
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
510 CYPRESS ST STE D, Fort Bragg, CA 95437
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Other Identifiers 3

Medicare ID-Type Unspecified553843CA
MedicaidOOG212380CA
Medicare UPINA41214CA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM M MAHON & JEFFREY M KRAUT
Pediatrics (Adolescent Medicine)
510 CYPRESS ST STE D
FORT BRAGG, CA 95437
Mendocino County (707) 964-5696
DR. WILLIAM MATTHEW MAHON M.D.
Pediatrics (Adolescent Medicine)
510 CYPRESS ST STE D
FORT BRAGG, CA 95437
Mendocino County (707) 964-5696
MENDOCINO COAST CLINICS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
510 CYPRESS ST STE D
FORT BRAGG, CA 95437
Mendocino County (707) 964-5696
WILLIAM M MAHON & JEFFREY M KRAUT MENDOCINO COAST PEDIATRIC MDCL GRP
Clinic/Center (Rural Health)
510 CYPRESS ST STE D
FORT BRAGG, CA 95437
Mendocino County (707) 964-5696
GAYLE HOLDERNESS TYERMAN MD
Pediatrics
510 CYPRESS ST STE D
FORT BRAGG, CA 95437
Mendocino County (707) 357-1001
CHRISTOPHER ROBSHAW M.D.
Pediatrics
510 CYPRESS ST STE D
FORT BRAGG, CA 95437
Mendocino County (707) 964-1251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Kraut's NPI number?

The NPI number for Jeffrey Kraut is 1285657189. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Jeffrey Kraut located?

Jeffrey Kraut practices at 510 Cypress St Ste D, Fort Bragg, CA 95437. The listed phone number is (707) 964-5696.

What is Jeffrey Kraut's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Kraut was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.