Individual provider Active NPI

James P. Crossan, M.D.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Anaheim, CA
National Provider Identifier
1205966199
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
G36966 Issued in CA
Practice address
1313 S Harbor Blvd
Disneyland Resort, Cast Health
Anaheim, CA 92802-2309
Phone
(714) 781-4037
Fax
(714) 781-4249
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X G36966 CA Primary

Addresses

Primary practice location

1313 S Harbor Blvd
Disneyland Resort, Cast Health
Anaheim, CA 92802-2309

Mailing address

1313 S Harbor Blvd
Disneyland Resort, Cast Health
Anaheim, CA 92802-2309
Phone (714) 781-4037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G36966CAMDNeuromusculoskeletal Medicine & OMM Physician

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205966199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S HARBOR BLVD",
            "address_2": "DISNEYLAND RESORT, CAST HEALTH",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022309",
            "telephone_number": "714-781-4037",
            "fax_number": "714-781-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S HARBOR BLVD",
            "address_2": "DISNEYLAND RESORT, CAST HEALTH",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022309",
            "telephone_number": "714-781-4037",
            "fax_number": "714-781-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSAN",
        "first_name": "JAMES",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "G36966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.