Kathy L Crandall Gillies, D.C.
Individual provider Active NPI Chiropractor · Frazier Park, CA
NPI 1265596563 · NPPES record last updated Nov 3, 2025
Key facts
- NPI
- 1265596563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC27664 (CA)
- Practice address
- 3121 Mt Pinos Way Ste D
Frazier Park, CA 93225-8083 - Phone
- (661) 993-4989
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040813000728 | CA | Practitioner - Chiropractic | 4688647126 | Practice locations: Frazier Park, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC27664 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27664 | CA | Yes |
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
- Dr. Kathy L Crandall
Other providers in Frazier Park, CA
- Jeannette Marie Clowes
- Code 4 Acupuncture
- E Seguro Sempre
- Frazier Healthcare Inc
- Jessica Maria Garcia
- Deborah Grace Turner
- Ruth Handy
All providers in Frazier Park, CA · Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.