Active NPI
Todd Cranor, PA-C
- Physician Assistant
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA56759
- Practice address
- 1950 E Clark St Ste 110
Pocatello, ID 83201-3315 - Phone
- (208) 232-7246
- NPI assigned
- Nov 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-1650 | ID | |
| Physician Assistant | 363A00000X | PA56759 | CA | Primary |
Addresses
Primary practice location
1950 E Clark St Ste 110
Pocatello, ID 83201-3315
Mailing address
3385 Potomac Way
Idaho Falls, ID 83404-4978
Phone (208) 522-7246
Other practice location 1
1595 Yellowstone Ave
Pocatello, ID 83201-4203
Phone (208) 233-0032
Other practice location 2
9710 Brimhall Rd
Bakersfield, CA 93312-2779
Phone (661) 829-6747
Other practice location 3
1425 Parkway Dr
Blackfoot, ID 83221-1667
Phone (208) 785-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA56759 | CA | MD | Physician Assistant |
| PA-1650 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care | Current | Accepting new patients | |
| Community Care Pocatello PLLC | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients | |
| Maior Telehealth LLC | Current | Accepting new patients | |
| Mountain View Hospital Physician Organization | Past | Accepting new patients |
Locations
9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640
212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060
6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377
41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585
1425 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-2600
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448
2730 Channing Way
Idaho Falls, ID 83404
Phone (208) 542-7100
765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600
3385 Potomac Way
Idaho Falls, ID 83404
Phone (208) 522-7246
150 Vista Dr
Pocatello, ID 83201
Phone (208) 232-2146
1950 E Clark St
Ste 110
Pocatello, ID 83201
Phone (208) 232-7246
1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032
110 Vista Dr
Pocatello, ID 83201
Phone (208) 234-0024
404 N 2nd E
Rexburg, ID 83440
Phone (208) 359-1770
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- tcranor768088@direct.ochin.org
- todd.cranor.p1@direct.rrhc.nextgenshare.com
- todd.cranor.p1@direct.cmcentersinc.nextgenshare.com
- todd.cranor.p8@direct.bfmc.nextgenshare.com
- todd.cranor.1@27469.direct.athenahealth.com
- todd.cranor.p1@direct.bfmc.nextgenshare.com
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1689963845
-
- Urgent Care Clinic/Center
- Pocatello, ID
- NPI 1518536556
-
- Family Medicine Physician
- Pocatello, ID
- NPI 1538517156
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1295009785
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1790708832
-
- Urgent Care Clinic/Center
- Pocatello, ID
- NPI 1265714760
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1073834529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1477021020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3385 POTOMAC WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834044978",
"telephone_number": "208-522-7246",
"fax_number": "208-529-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 E CLARK ST STE 110",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832013315",
"telephone_number": "208-232-7246"
}
],
"practiceLocations": [
{
"address_1": "1595 Yellowstone Ave",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832014203",
"country_code": "US",
"telephone_number": "208-233-0032",
"fax_number": "208-237-9171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9710 Brimhall Rd",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "933122779",
"country_code": "US",
"telephone_number": "661-829-6747",
"fax_number": "661-829-6937",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1425 Parkway Dr",
"address_purpose": "LOCATION",
"city": "Blackfoot",
"state": "ID",
"postal_code": "832211667",
"country_code": "US",
"telephone_number": "208-785-7246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRANOR",
"first_name": "TODD",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-12",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-1650",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA56759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.