Individual provider Active NPI

Charles W. Craft, D.P.M.

  • Podiatrist
  • Hanford, CA
National Provider Identifier
1285755900
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000E32090 Issued in CA
Practice address
806 W 7TH St
Hanford, CA 93230-4926
Phone
(559) 584-5196
Fax
(559) 584-9807
NPI assigned
Apr 2, 2007
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000E32090 CA Primary

Addresses

Primary practice location

806 W 7TH St
Hanford, CA 93230-4926

Mailing address

806 W. Seventh St.
Hanford, CA 93230
Phone (559) 584-5196

Other identifiers 1

IdentifierTypeStateIssuer
1366570772OtherCAGROUP NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000068 CA Practitioner - Podiatry 7810809902 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000E32090CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kings River Surgical Center, LLC PastSince Oct 20, 2008 Accepting new patients
Hanford Community Hospital PastSince Jun 23, 2005 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1285755900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 W. SEVENTH ST.",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "559-584-5196",
            "fax_number": "559-584-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 W 7TH ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304926",
            "telephone_number": "559-584-5196",
            "fax_number": "559-584-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "CHARLES",
        "middle_name": "W.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "000E32090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1366570772",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.