Individual provider Active NPI

Thomas L Crawford

  • Non-emergency Medical Transport (VAN)
  • Perris, CA
National Provider Identifier
1497337356
Registry record updated May 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
1608 Chamberlin Creek Way
Perris, CA 92571-3772
Phone
(951) 210-2743
NPI assigned
Apr 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1608 Chamberlin Creek Way
Perris, CA 92571-3772

Mailing address

1608 Chamberlin Creek Way
Perris, CA 92571-3772
Phone (951) 210-2743

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Jpanokec@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619827200000",
    "number": "1497337356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 CHAMBERLIN CREEK WAY",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713772",
            "telephone_number": "951-210-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 CHAMBERLIN CREEK WAY",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925713772",
            "telephone_number": "951-210-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "THOMAS",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-05-01",
        "certification_date": "2021-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jpanokec@gmail.com",
            "affiliation": "N",
            "address_1": "1608 Chamberlin Creek Way",
            "city": "Perris",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925713772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2021; 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.