Grace Crittenden, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G65487 Issued in CA

Practice address

1250 Peach St Ste B
San Luis Obispo, CA 93401

Phone

(805) 543-4043

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

Locations

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.

• Central Rehabilitation Clinic Inc

  • Internal Medicine Physician
  • San Luis Obispo, CA
  • NPI 1811929417
  NPD
• Eric Dunlop, DO, Inc.

  • Family Medicine Physician
  • San Luis Obispo, CA
  • NPI 1124478243
  NPD (past)
• Kevin Parzych a Medical Corp

  • Family Medicine Physician
  • San Luis Obispo, CA
  • NPI 1033586714
  NPD (past)
• Pacific Central Coast Health Centers

  • Community Health Clinic/Center
  • Santa Maria, CA
  • NPI 1063496651
  NPD (past)
• Pacific Central Coast Health Centers

  • Community Health Clinic/Center
  • Bakersfield, CA
  • NPI 1720752355
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1053343764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E. CHURCH STREET",
            "address_2": "ATTENTION: MEDICAL STAFF OFFICE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-739-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PEACH ST STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-543-4043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Casa Street",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934051818",
            "country_code": "US",
            "telephone_number": "805-242-0614",
            "fax_number": "805-457-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Casa Street",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934051818",
            "country_code": "US",
            "telephone_number": "805-242-0614",
            "fax_number": "805-457-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRITTENDEN",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G65487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB234888",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crestwood Behavioral Health, Inc.
• Crestwood Behavioral Health, Inc.
• John Eric Crippen
• Crisis Intervention Services
• Tiffany Crisp
• Joe Forrest Croft, NP
• Lori Cromer, OTR/L
• Lori Croom, R.N.
• Ariana Mae Schroeder Cross
• Jennifer Lynn Cross

• Internal Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, 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 14, 2019; 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.