Individual provider Active NPI

Todd Cranor, PA-C

  • Physician Assistant
  • Pocatello, ID
National Provider Identifier
1477021020
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA56759 Issued in CA
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

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 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
I20190325001324 ID Practitioner - Physician Assistant 6800136110 Reassigns benefits to 3 organizations
I20190723002469 CA Practitioner - Physician Assistant 6800136110 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA56759CAMDPhysician Assistant
PA-1650IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Current Accepting new patients
Community Care Pocatello PLLC Current Accepting new patients
Mountain View Hospital LLC CurrentSince Dec 30, 2018 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Jun 1, 2019 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

  • Direct secure messaging: tcranor768088@direct.ochin.org
  • Direct secure messaging: todd.cranor.p1@direct.rrhc.nextgenshare.com
  • Direct secure messaging: todd.cranor.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: todd.cranor.p8@direct.bfmc.nextgenshare.com
  • Direct secure messaging: todd.cranor.1@27469.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.