Individual provider Active NPI

Julie Alison Cragholm, PA-C

  • Surgical Physician Assistant
  • San Jose, CA
National Provider Identifier
1356582084
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA20175 Issued in CA
Practice address
333 Oconnor Dr
San Jose, CA 95128-1623
Phone
(408) 297-3484
NPI assigned
Mar 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20175 CA
Medical Physician Assistant 363AM0700X PA20175 CA
Surgical Physician Assistant 363AS0400X PA20175 CA Primary

Addresses

Primary practice location

333 Oconnor Dr
San Jose, CA 95128-1623

Mailing address

333 Oconnor Dr
San Jose, CA 95128-1623
Phone (408) 297-3484

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090713000494 CA Practitioner - Physician Assistant 3971655598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Stanford University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of California San FranciscoGroup PAC ID 4486567229, 1,780 clinicians
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians

Practice addresses (Care Compare)

2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029

3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • Adventist Health Mendocino Coast Hospital, Fort Bragg, CA, CCN 051325
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA20175CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jan 8, 2017 Accepting new patients
University of California San Francisco CurrentSince Jan 8, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 8, 2017 Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

333 Oconnor Dr
San Jose, CA 95128
Phone (408) 297-3484

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1356582084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 OCONNOR DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281623",
            "telephone_number": "408-297-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 OCONNOR DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281623",
            "telephone_number": "408-297-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAGHOLM",
        "first_name": "JULIE",
        "middle_name": "ALISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20175",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20175",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA20175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.