Individual provider Active NPI

Cristina Juanita Crankshaw, FNP

  • Family Nurse Practitioner
  • El Centro, CA
National Provider Identifier
1184158255
Registry record updated Apr 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006500 Issued in CA
Practice address
1415 Ross Ave
El Centro, CA 92243-4306
Phone
(760) 460-1348
NPI assigned
Apr 16, 2017
Last updated
Apr 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95006500 CA Primary

Addresses

Primary practice location

1415 Ross Ave
El Centro, CA 92243-4306

Mailing address

166 S Haskell Dr
El Centro, CA 92243-5546
Phone (760) 460-1348

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
I20171031001034 CA Practitioner - Nurse Practitioner 1456627843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Health Clinic LLCGroup PAC ID 3072041763, 5 clinicians

Practice addresses (Care Compare)

2536 Rockwood Ave
Suite 107
Calexico, CA 92231-4408
Phone (442) 252-7313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Valley Family Care Medical Group Apc CurrentSince Apr 16, 2018 Accepting new patients
Desert Health Clinic LLC CurrentSince Nov 19, 2024 Accepting new patients
Regents of the University of California CurrentSince Sep 2, 2017 Accepting new patients
Imperial Valley Family Care Medical Group, Apc CurrentSince Apr 16, 2018 Accepting new patients
Regents of the University of California CurrentSince Sep 2, 2017 Accepting new patients
Regents of the Unviersity of California Past Accepting new patients

Locations

125 S 5th St
Brawley, CA 92227
Phone (760) 344-8100

2536 Rockwood Ave
Ste 107
Calexico, CA 92231
Phone (442) 250-7442

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

516 W Aten Rd
Ste 2
Imperial, CA 92251
Phone (760) 355-7730

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

200 W Arbor Dr
#8676
San Diego, CA 92103
Phone (619) 543-6213

Interoperability endpoints

  • Direct secure messaging: cristina.crankshaw@ecrmc.eclinicaldirectplus.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492300800000",
    "number": "1184158255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 S HASKELL DR",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922435546",
            "telephone_number": "760-460-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434306",
            "telephone_number": "760-460-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANKSHAW",
        "first_name": "CRISTINA",
        "middle_name": "JUANITA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-16",
        "last_updated": "2017-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.