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Kriengsak Itsara, MD
NPI 1558363739 · Nephrology Physician · Modesto, CA
Kriengsak Itsara, MD is a Nephrology Physician provider in Modesto, CA (NPI 1558363739).
Provider details
- NPI number
- 1558363739
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A33103 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
305 E Granger Ave
Ste 202
Modesto, CA 95350-4344
Phone: (206) 526-1606
Fax: (209) 526-1677
Street-level locationGet directions
Mailing address
305 E Granger Ave
Modesto, CA 95350-4344
Registry dates
- Enumerated
- 2005-06-01
- Last updated
- 2008-02-25
Frequently asked questions
- What is Kriengsak Itsara's NPI number?
- Kriengsak Itsara's National Provider Identifier (NPI) is 1558363739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kriengsak Itsara's specialty?
- Kriengsak Itsara is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Kriengsak Itsara located?
- Kriengsak Itsara's practice location on file with NPPES is 305 E Granger Ave, Modesto, CA 95350-4344.
- What is Kriengsak Itsara's phone number?
- The practice phone number listed in the NPPES registry for Kriengsak Itsara is (206) 526-1606.
- Is Kriengsak Itsara's NPI active?
- Yes — Kriengsak Itsara's NPI (1558363739) is active in the NPPES registry as of the last update on 2008-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.