Creative Clinical Research, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CREATIVE CLINICAL RESEARCH, INC.

Practice address

930 Alhambra Blvd Ste 230
Sacramento, CA 95816-4433

Phone

(916) 385-4438

NPI assigned

May 18, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Kirk Jay Austin, PA

Title

Ceo

Phone

(916) 513-7027

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Elk Grove Clinical Research Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirk Kay Austin, PA

  • Medical Physician Assistant
  • Elk Grove, CA
  • NPI 1962848374
  NPD

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710414933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 LAGUNA BLVD STE 480",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587953",
            "telephone_number": "916-513-7027",
            "fax_number": "916-895-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 ALHAMBRA BLVD STE 230",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164433",
            "telephone_number": "916-385-4438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7807 Laguna Blvd Ste 480",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957587953",
            "country_code": "US",
            "telephone_number": "916-513-7027 x102",
            "fax_number": "916-895-2184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE CLINICAL RESEARCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-513-7027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962848374",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124313093",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689712317",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elk Grove Clinical Research",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy L. Crawford
• April Crawley
• Anquinette Cray, FNP
• Rayann Michele Crayne
• Katie Kenefick Crean-Tate, M.D.
• Creative Perspectives, Inc.
• Kelley Crediford-Pacheco, LCSW
• Jonathan Credo, MD, PHD
• Liliana Creed
• Michele Creekmore, CADC II

• Primary Care Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.