Craniofacial Med Assoc Cho

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

A54952 Issued in CA

Legal business name

CRANIOFACIAL MED ASSOC CHO

Practice address

747 52ND St
Oakland, CA 94609-1809

Phone

(510) 428-3129

Fax

(510) 601-3989

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Ellio Gizzi, MD

Title

Head of Dept

Phone

(510) 428-3129

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Craniofacial Med Assoc Cho2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Craniofacial Medical Assoc of Chrco

  • Pediatrics Physician
  • Oakland, CA
  • NPI 1780601401
  NPD tax ID

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063549897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 W MARCH LN",
            "address_2": "STE 200",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192369",
            "telephone_number": "209-473-6555",
            "fax_number": "209-473-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3129",
            "fax_number": "510-601-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL MED ASSOC CHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIZZI",
        "authorized_official_first_name": "ELLIO",
        "authorized_official_title_or_position": "HEAD OF DEPT",
        "authorized_official_telephone_number": "510-428-3129",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "A54952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "GR0095820",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR GIZZI CA MD LICENSE",
            "identifier": "A54952",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Cramer, MA
• Emma Isabella Crameri
• Amanda Helen Chadwell Crane, RD
• Ursula Anne Crane, CNM, NP, RN
• Cranial Technologies, Inc.
• Craniofacial Medical Assoc of Chrco
• Cheryl Cranshaw, LMFT
• Rachel Cratsenburg, AMFT
• Jlynn Charlisa Cravanas Sasser, BEHAVIORAL HEALTH
• Keesha Cravanas, CNS

• Pediatric Critical Care Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatric Critical Care Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.