Active NPI
Faith Mary Crumpler, MD
- Family Medicine Physician
- Burlingame, CA
National Provider Identifier
1154584829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A115514
- Practice address
- 329 Primrose Rd FL 2
Burlingame, CA 94010-4093 - Phone
- (650) 288-1200
- Fax
- (650) 288-4180
- NPI assigned
- Jul 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5315037548 | MI | |
| Family Medicine Physician | 207Q00000X | A115514 | CA | Primary |
Addresses
Primary practice location
329 Primrose Rd FL 2
Burlingame, CA 94010-4093
Mailing address
130 Sutter St FL 2
San Francisco, CA 94104-4009
Phone (415) 658-6791
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150413000778 | CA | Practitioner - Family Practice | 0446578991 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A115514 | CA | MD | Family Medicine Physician |
| 5315037548 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelong Medical Care | Family Medicine | Current | Accepting new patients |
| Lifelong Medical Care | Current | Accepting new patients |
Locations
3260 Sacramento St
Berkeley, CA 94702
Phone (510) 428-4500
2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203
10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300
616 16th St
Oakland, CA 94612
Phone (510) 451-1273
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1154584829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SUTTER ST FL 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941044009",
"telephone_number": "415-658-6791",
"fax_number": "415-520-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 PRIMROSE RD FL 2",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940104093",
"telephone_number": "650-288-1200",
"fax_number": "650-288-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMPLER",
"first_name": "FAITH",
"middle_name": "MARY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5315037548",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A115514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.