Active NPI
Cameron Craver, PT, DPT
- Orthopedic Physical Therapist
- Costa Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070.026600
- Practice address
- 2777 Bristol St Ste B
Costa Mesa, CA 92626-5997 - Phone
- (949) 250-1112
- NPI assigned
- Jul 10, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 304632 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 070.026600 | IL | Primary |
Addresses
Primary practice location
2777 Bristol St Ste B
Costa Mesa, CA 92626-5997
Mailing address
2777 Bristol St Ste B
Costa Mesa, CA 92626-5997
Other practice location 1
5700 S Cicero Ave Ste 100
Chicago, IL 60638-3831
Phone (630) 856-8682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
2777 Bristol St
Suite B
Costa Mesa, CA 92626-5997
Phone (949) 250-1112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304632 | CA | MD | Orthopedic Physical Therapist |
| 070.026600 | IL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosport Physical Therapy Professionals Inc | Orthopedic | Current | Accepting new patients |
| Prosport Physical Therapy Professionals Inc | Orthopedic | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Orthopedic | Current | Accepting new patients |
Locations
559 E Carson St
Ste B
Carson, CA 90745
Phone (424) 201-5242
2777 Bristol St
Ste B
Costa Mesa, CA 92626
Phone (949) 250-1112
26672 Portola Pkwy
Ste 116
Foothill Rnch, CA 92610
Phone (714) 450-4999
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Costa Mesa, CA
- NPI 1073170437
Orthopedic
-
- Physical Therapist
- Rancho Palos Verdes, CA
- NPI 1487648341
Orthopedic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1174201099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2777 BRISTOL ST STE B",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2777 BRISTOL ST STE B",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265997",
"telephone_number": "949-250-1112"
}
],
"practiceLocations": [
{
"address_1": "5700 S Cicero Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606383831",
"country_code": "US",
"telephone_number": "630-856-8682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAVER",
"first_name": "CAMERON",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-10",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "304632",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070.026600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.