Douglas Crocker

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

444700010 Issued in CA

Practice address

135 Aviation Way Ste 8B
Watsonville, CA 95076-2065

Phone

(831) 471-5183

NPI assigned

Jan 18, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• HHDL of Santa Cruz Inc.

  • In Home Supportive Care Agency
  • Watsonville, CA
  • NPI 1952737629
  NPD

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1467167957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 AVIATION WAY STE 8B",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762065",
            "telephone_number": "831-471-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 AVIATION WAY STE 8B",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762065",
            "telephone_number": "831-471-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "444700010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Santa Cruz
• County of Santa Cruz
• Court Appointed Special Advocates (Casa) of Santa Cruz County
• Rachael Cox
• Brian Criswell
• Randolph Robert Cross, DDS
• Georgia Claire Crowley
• Joni Cruz
• Sofia Cuentas-Nunez
• Sarah Ashley Cupps

• Case Manager/Care Coordinator in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.