Michael Crade, M.D.

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

G41634 Issued in CA

Practice address

3325 Palo Verde Ave
Long Beach, CA 90808-4132

Phone

(562) 429-7100

Fax

(562) 429-7132

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Albany Medical College of Union University, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Magella Medical Group IncGroup PAC ID 7214827591, 23 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Magella Medical Group, Inc.

  • Maternal & Fetal Medicine Physician
  • Long Beach, CA
  • NPI 1376640086
  Medicare reassignment Care Compare group NPD
• Obstetrix Medical Group of Washington Inc PS

  • Maternal & Fetal Medicine Physician
  • Seattle, WA
  • NPI 1861599573

  Diagnostic Ultrasound

  Medicare reassignment NPD
• Seattle Nuclear Medicine-Ultrasound Associates

  • Radiology Clinic/Center
  • Seattle, WA
  • NPI 1265506349
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295841930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 PALO VERDE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084132",
            "telephone_number": "562-429-7100",
            "fax_number": "562-429-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 PALO VERDE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084132",
            "telephone_number": "562-429-7100",
            "fax_number": "562-429-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "G41634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD CERT. NO",
            "identifier": "G41634",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanna R Cox, M.D.
• Maria Magdalena Coyle, LVN
• Virginia Coyle, PSY.D.
• Cr8Tive Mindz
• Julia Craddolph
• Elana Craemer, M.D.
• Craig Kain, PHD, Psychological Services, Apc
• Gloria Perez Craig, NP
• Jocelyn Bennett Craig, M.D.
• Justin Michael Craig, BCBA

• Diagnostic Ultrasound Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Diagnostic Ultrasound Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.