Individual provider Active NPI

Kathy L Crandall Gillies, D.C.

  • Chiropractor
  • Frazier Park, CA
National Provider Identifier
1265596563
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27664 Issued in CA
Practice address
3121 Mt Pinos Way Ste D
Frazier Park, CA 93225-8083
Phone
(661) 993-4989
NPI assigned
Dec 20, 2006
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27664 CA Primary

Addresses

Primary practice location

3121 Mt Pinos Way Ste D
Frazier Park, CA 93225-8083

Mailing address

PO Box 2407
Frazier Park, CA 93225-2407
Phone (661) 993-4989

Other names 1

  • Dr. Kathy L Crandall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813000728 CA Practitioner - Chiropractic 4688647126 Practice locations: Frazier Park, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3121 Mount Pinos Way
Suite D 2407
Frazier Park, CA 93225-2407
Phone (661) 993-4989

PO Box
Suite 2407
Frazier Park, CA 93225-2407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC27664CAMDChiropractor
27664CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1265596563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2407",
            "city": "FRAZIER PARK",
            "state": "CA",
            "postal_code": "932252407",
            "telephone_number": "661-993-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 MT PINOS WAY STE D",
            "city": "FRAZIER PARK",
            "state": "CA",
            "postal_code": "932258083",
            "telephone_number": "661-993-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL GILLIES",
        "first_name": "KATHY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "CRANDALL",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frazier Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.

Verify at the official NPI Registry.