Active NPI
Laura A Cronin, PA
- Physician Assistant
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 58201
- Practice address
- 215 S Hickory St Ste 114
Escondido, CA 92025-4360 - Phone
- (760) 704-9429
- NPI assigned
- Oct 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2014-0011 | NM | |
| Physician Assistant | 363A00000X | 085004674 | IL | |
| Physician Assistant | 363A00000X | PA9109679 | FL | |
| Physician Assistant | 363A00000X | 58201 | CA | Primary |
Addresses
Primary practice location
215 S Hickory St Ste 114
Escondido, CA 92025-4360
Mailing address
PO Box 158
El Centro Family Health, 538 N.Paseo de Onate
Espanola, NM 87532-0158
Phone (773) 227-3669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109679 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| El Centro Family Health | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| El Centro Family Health | Current | Accepting new patients | |
| El Centro Family Health | Past | Accepting new patients | |
| Christian R Small MD a Professional Corporation | Past | Accepting new patients |
Locations
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
1235 8th St
Las Vegas, NM 87701
Phone (505) 425-6751
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Espanola, NM
- NPI 1780689034
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Federally Qualified Health Center (FQHC)
- Taos, NM
- NPI 1932407681
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Headlands Addiction Treatment Services
- Multi-Specialty Clinic/Center
- Escondido, CA
- NPI 1285213132
-
- Federally Qualified Health Center (FQHC)
- Wagon Mound, NM
- NPI 1538324223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1023445483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 158",
"address_2": "EL CENTRO FAMILY HEALTH, 538 N.PASEO DE ONATE",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875320158",
"telephone_number": "773-227-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S HICKORY ST STE 114",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920254360",
"telephone_number": "760-704-9429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONIN",
"first_name": "LAURA",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2014-0011",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085004674",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9109679",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "58201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.