NPIMap

Individual provider Active NPI

Craig Yoshio Endo, M.D.

  • Family Medicine Physician
  • La Verne, CA
National Provider Identifier
1265411730
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A067492 Issued in CA
Practice address
2333 Foothill Blvd Ste B
La Verne, CA 91750-3027
Phone
(909) 392-6501
Fax
(909) 469-2136
NPI assigned
Jan 12, 2006
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A067492 CA Primary

Addresses

Primary practice location

2333 Foothill Blvd Ste B
La Verne, CA 91750-3027

Mailing address

PO Box 1628
Claremont, CA 91711-8628
Phone (909) 392-3230

Other identifiers 2

IdentifierTypeStateIssuer
1265411730MedicaidCA
00A674920MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031203000215 CA Practitioner - Family Practice 7719881218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Congregational HomesGroup PAC ID 6901907245, 19 clinicians

Practice addresses (Care Compare)

1601 Monte Vista Ave
Suite 190
Claremont, CA 91711-6600
Phone (909) 865-9977

900 E Harrison Ave
Pomona, CA 91767-2075
Phone (909) 624-5061

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A067492CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine Associates, Inc Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Current Accepting new patients

Locations

2140 Grand Ave
Ste 125
Chino Hills, CA 91709
Phone (909) 630-7875

3110 Chino Ave
Ste 150A
Chino Hills, CA 91709
Phone (909) 630-7490

1601 Monte Vista Ave
Ste 190
Claremont, CA 91711
Phone (909) 865-9977

2333 Foothill Blvd
Ste B
La Verne, CA 91750
Phone (909) 392-6501

2333 Foothill Blvd
Ste C
La Verne, CA 91750
Phone (909) 392-6511

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

Organizations & group practices 4

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 6

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1265411730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1628",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917118628",
            "telephone_number": "909-392-3230",
            "fax_number": "909-392-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 FOOTHILL BLVD STE B",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917503027",
            "telephone_number": "909-392-6501",
            "fax_number": "909-469-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDO",
        "first_name": "CRAIG",
        "middle_name": "YOSHIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A067492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265411730",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A674920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Verne, CA

Sources for this page

Verify at the official NPI Registry.