Craig Lund Gillespie, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G51486 Issued in CA

Practice address

1525 Webster Street
Suite C
Fairfield, CA 94533-4935

Phone

(707) 428-0777

Fax

(707) 428-3925

NPI assigned

Aug 5, 2006

Last updated

Jan 26, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lida S Ward, FNP

  • Family Nurse Practitioner
  • Fairfield, CA
  • NPI 1730106675
  Medicare reassignment

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1609885037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 WEBSTER STREET",
            "address_2": "SUITE C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334935",
            "telephone_number": "707-428-0777",
            "fax_number": "707-428-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 WEBSTER STREET",
            "address_2": "SUITE C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334935",
            "telephone_number": "707-428-0777",
            "fax_number": "707-428-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "CRAIG",
        "middle_name": "LUND",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G51486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4544718",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aniya Gibson
• Cornelia Gibson
• Angela Sabrina Giese, MD
• Gill and Lambridis Dental Corporation (Fairfield Dentists Dental Group)
• Aniya Gill
• Jennifer Gilley, LPT
• David Roy Gilliam, M.D.
• Brittany Gilmore
• Tracy Gilson
• Michael Lane Ginsberg, MD

• Family Medicine Physician in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.

Verify at the official NPI Registry.