Active NPI
Bruce M Crabtree MD Inc
- Anesthesiology Physician
- La Mesa, CA
National Provider Identifier
1134381007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G46296
- Legal business name
- BRUCE M CRABTREE MD INC
- Practice address
- 8881 Fletcher Pkwy
La Mesa, CA 91942-3134 - Phone
- (619) 698-0930
- NPI assigned
- Jul 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce M Crabtree, MD
- Title
- President
- Phone
- (858) 495-0971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G46296 | CA | Primary |
Addresses
Primary practice location
8881 Fletcher Pkwy
La Mesa, CA 91942-3134
Mailing address
PO Box 969096
San Diego, CA 92196-9096
Phone (858) 495-0971
National Provider Directory
National Provider DirectoryLocations
5565 Grossmont Center Dr
Ste 250B
La Mesa, CA 91942
5565 Grossmont Center Dr
#250B
La Mesa, CA 91942
Phone (619) 462-8620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1134381007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 969096",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921969096",
"telephone_number": "858-495-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8881 FLETCHER PKWY",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423134",
"telephone_number": "619-698-0930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE M CRABTREE MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "CRABTREE",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-495-0971",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "G46296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.