Eitan Homa MD and Jennifer Krasnoff MD Inc
NPI 1164514881ActiveOrganization· Dermatology· Hercules, CA
Dermatology in Hercules, California, registered in NPPES in September 2006. The authorized official on file is Marlene Kole, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164514881 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2006 |
| Last updated in NPPES | May 6, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Dermatology providers in Hercules
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