Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kriengsak Itsara, MD
Nephrology Physician in Modesto, CA · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1558363739
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Registry record
Entity type Individual (Type 1)
Name Kriengsak Itsara
Credential MD
Sex Male
Practice address 305 E Granger Ave, Ste 202, Modesto, CA, 95350
Phone (206) 526-1606
Fax (209) 526-1677
Enumeration date Jun 1, 2005
Last updated in NPPES Feb 25, 2008
Taxonomy & licenses
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A331030 | Medicaid | CA | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1558363739 active?
Yes, as of the latest NPPES snapshot, NPI 1558363739 is active (record last updated 2008-02-25).
How do I verify Kriengsak Itsara's NPI record?
Cross-check NPI 1558363739 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → Modesto Kidney Medical Group Nephrology Physician · Modesto, CA NPI 1306848569 Chang Joo Nephrology Physician · Modesto, CA NPI 1508868787 Kenneth Liu Nephrology Physician · Modesto, CA NPI 1326042391 Modesto Kidney Center, Inc. End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Modesto, CA NPI 1003887712 Tong Sun Nephrology Physician · Modesto, CA NPI 1629161336
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-25.