Individual provider Active NPI

Craig Aaron Kaiser, D. O.

  • Psychiatry Physician
  • Yucca Valley, CA
National Provider Identifier
1396760138
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
8306 Issued in CA
Practice address
57407 Twentynine Palms Hwy Suite B
Yucca Valley, CA 92284
Phone
(760) 366-1541
NPI assigned
Jul 13, 2006
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34-006144 OH
Psychiatry Physician 2084P0800X 8306 CA Primary

Addresses

Primary practice location

57407 Twentynine Palms Hwy Suite B
Yucca Valley, CA 92284

Mailing address

57407 Twentynine Palms Hwy Suite B
Yucca Valley, CA 92284
Phone (760) 366-1541

Other practice location 1

7885 Annandale Ave
Desert Hot Springs, CA 92240-1419
Phone (760) 329-2924

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20060906000488 OH Practitioner - Psychiatry 2860496809 Reassigns benefits to 2 organizations
I20100222000557 CA Practitioner - Psychiatry 2860496809 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio University, College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians

Practice addresses (Care Compare)

57407 29 Palms Hwy
Suite B
Yucca Valley, CA 92284-2907
Phone (760) 366-1542

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-006144OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
Department of State Hospitals CurrentSince Jan 20, 2020 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jul 5, 2011 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Department of State Hospitals Current Accepting new patients
Adena Medical Group LLC Psychiatry CurrentSince Oct 22, 2012 Accepting new patients
Community Solutions for Children, Families and Individuals CurrentSince Jan 1, 2021 Accepting new patients
Meridian Counseling Psychiatry CurrentSince May 1, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Nov 8, 2022 Accepting new patients
Community Solutions for Children, Families and Individuals CurrentSince Jan 1, 2021 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jul 5, 2011 Accepting new patients
First Choice Physician Partners General Practice CurrentSince Nov 8, 2022 Accepting new patients
The Ranch Recovery Centers Inc Past Accepting new patients

Locations

10333 El Camino Real
Atascadero, CA 93422
Phone (805) 468-2000

9015 Murray Ave
Ste 100
Gilroy, CA 95020
Phone (408) 665-4908

6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500

11835 W Olympic Blvd
Ste 815E
Los Angeles, CA 90064
Phone (323) 332-9905

16264 Church St
Ste 103
Morgan Hill, CA 95037
Phone (408) 779-2113

3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

1600 9th St
Ste 150
Sacramento, CA 95814
Phone (916) 651-8811

57407 29 Palms Hwy
Ste B
Yucca Valley, CA 92284
Phone (760) 366-1541

100 Hospital Dr
Athens, OH 45701
Phone (740) 589-4136

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

2200 W Broad St
Columbus, OH 43223

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

3000 Erie St S
Massillon, OH 44646
Phone (330) 833-3135

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1396760138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57407 TWENTYNINE PALMS HWY SUITE B",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "760-366-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57407 TWENTYNINE PALMS HWY SUITE B",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "92284",
            "telephone_number": "760-366-1541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7885 Annandale Ave",
            "address_purpose": "LOCATION",
            "city": "Desert Hot Springs",
            "state": "CA",
            "postal_code": "922401419",
            "country_code": "US",
            "telephone_number": "760-329-2924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISER",
        "first_name": "CRAIG",
        "middle_name": "AARON",
        "credential": "D. O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34-006144",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "8306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena@adena.medicity.net",
            "affiliation": "N",
            "address_1": "272 Hospital Rd",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.