Individual provider Active NPI

Christina Michele Crawford, PA-C

  • Physician Assistant
  • Orange, CA
National Provider Identifier
1316060775
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16656 Issued in CA
Practice address
1100 W Town and Country Rd Ste 1600
Orange, CA 92868-4698
Phone
(657) 348-1943
Fax
(714) 202-4502
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16656 CA Primary

Addresses

Primary practice location

1100 W Town and Country Rd Ste 1600
Orange, CA 92868-4698

Mailing address

1100 W Town and Country Rd Ste 1600
Orange, CA 92868-4698
Phone (657) 348-1943

Other practice location 1

871 W Main St
Booneville, AR 72927-3420
Phone (479) 675-4100

Other identifiers 1

IdentifierTypeStateIssuer
PA16656OtherCAPHYSICIAN ASSISTANT LICEN

Other names 1

  • Christina Michele Ur Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170606003151 CA Practitioner - Physician Assistant 2365719739 Reassigns benefits to 1 organization
I20250508002182 AR Practitioner - Physician Assistant 2365719739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16656CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LLC CurrentSince Apr 1, 2025 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

871 W Main St
Booneville, AR 72927
Phone (479) 675-4100

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1316060775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W TOWN AND COUNTRY RD STE 1600",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684698",
            "telephone_number": "657-348-1943",
            "fax_number": "714-202-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W TOWN AND COUNTRY RD STE 1600",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684698",
            "telephone_number": "657-348-1943",
            "fax_number": "714-202-4502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 W Main St",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "AR",
            "postal_code": "729273420",
            "country_code": "US",
            "telephone_number": "479-675-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CHRISTINA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICEN",
            "identifier": "PA16656",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "UR",
            "middle_name": "MICHELE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.