William Robert Crumpton, M,D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G27062A Issued in CA

Practice address

14642 Newport Ave
Suite#200
Tustin, CA 92780-6057

Phone

(714) 669-4466

Fax

(714) 669-4088

NPI assigned

Jan 19, 2007

Last updated

Oct 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: wcrumpton1373107@oc.providencedirect.org

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1205989373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE",
            "address_2": "SUITE#200",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806057",
            "telephone_number": "714-669-4466",
            "fax_number": "714-669-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE",
            "address_2": "SUITE#200",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806057",
            "telephone_number": "714-669-4466",
            "fax_number": "714-669-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMPTON",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "credential": "M,D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G27062A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wcrumpton1373107@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1095 Irvine Blvd",
            "city": "Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927803526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.