Individual provider Active NPI

Craig Fisher, PA

  • Physician Assistant
  • Santa Maria, CA
National Provider Identifier
1114372174
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57999 Issued in CA
Practice address
1846 N Broadway Ste a
Santa Maria, CA 93454-1447
Phone
(805) 361-4279
Fax
(805) 347-7334
NPI assigned
Apr 27, 2016
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 57999 CA Primary

Addresses

Primary practice location

1846 N Broadway Ste a
Santa Maria, CA 93454-1447

Mailing address

PO Box 689
Santa Barbara, CA 93102-0689
Phone (805) 361-4279

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824003478 CA Practitioner - Physician Assistant 7911281951 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottage Clinical Network LLCGroup PAC ID 1850712530, 57 clinicians

Practice addresses (Care Compare)

1846 N Broadway
Suite a
Santa Maria, CA 93454-1447
Phone (805) 361-4279

777 E Foothill Blvd
San Luis Obispo, CA 93405-1617
Phone (805) 762-4348

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
020160NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nuhealth: Physician Assistant Owned Apc CurrentSince Jan 14, 2024 Accepting new patients
Cep America-California CurrentSince May 1, 2023 Accepting new patients
Cep America-California CurrentSince May 1, 2023 Accepting new patients
Cep America-California CurrentSince May 1, 2023 Accepting new patients
Cottage Medical Associates Past Accepting new patients

Locations

1375 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 874-0405

345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

3889 Long St
Ste 200
San Luis Obispo, CA 93401
Phone (805) 234-8581

222 E Canon Perdido St
Ste 204
Santa Barbara, CA 93101
Phone (805) 699-6252

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1114372174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931020689",
            "telephone_number": "805-361-4279",
            "fax_number": "805-347-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 N BROADWAY STE A",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934541447",
            "telephone_number": "805-361-4279",
            "fax_number": "805-347-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "CRAIG",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.