Craig Hall, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A60551 Issued in CA

Practice address

11333 Prospect Dr
Jackson, CA 95642-9311

Phone

(209) 368-0560

Fax

(209) 214-6946

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1013920628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1580",
            "city": "IONE",
            "state": "CA",
            "postal_code": "956401580",
            "telephone_number": "209-274-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 PROSPECT DR",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429311",
            "telephone_number": "209-368-0560",
            "fax_number": "209-214-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CRAIG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A60551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gomez
• Gregory Brotherton
• Gregory S Vuksinich, M.D., Inc
• William M Griffin, M.D.
• Angela Gale Groverman, PA-C
• Rebecca Ann Hall, NP
• Amanda Rose Halvorson
• Philip Hamrick
• Hanger Prosthetics & Orthotics West Inc
• Holly Michelle Harper-Grohs, ACSW

• Internal Medicine Physician in Jackson, CA
• Providers in Jackson, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.