Dana Chretien, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

62097 Issued in CA

Practice address

550 E Washington Blvd Ste 100
Crescent City, CA 95531-8161

Phone

(707) 465-6925

Fax

(707) 465-6070

NPI assigned

Feb 18, 2019

Last updated

Feb 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mile High Urgent Care PLLCGroup PAC ID 4981019965, 24 clinicians

Urgent Care Centennial PCGroup PAC ID 0547384547, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mile High Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Littleton, CO
  • NPI 1679163851
  Medicare reassignment Care Compare group
• Urgent Care Centennial PC

  dba Doctors Express Urgent Care

  • Urgent Care Clinic/Center
  • Centennial, CO
  • NPI 1902128507
  Medicare reassignment Care Compare group
• Open Door Community Health Centers

  dba Del Norte Mobile Health Services

  • Federally Qualified Health Center (FQHC)
  • Crescent City, CA
  • NPI 1053151811
  NPD
• Open Door Community Health Centers

  dba Del Norte Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Crescent City, CA
  • NPI 1497840656
  NPD
• Open Door Community Health Centers

  dba Open Door Downtown

  • Federally Qualified Health Center (FQHC)
  • Eureka, CA
  • NPI 1831713452
  NPD
• Colorado Urgent Care Physicians, PC

  dba AFC Urgent Care Broadway

  • Clinic/Center
  • Englewood, CO
  • NPI 1306339163
  NPD

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1740746452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 E ILIFF AVE APT 2327",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E WASHINGTON BLVD STE 100",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318161",
            "telephone_number": "707-465-6925",
            "fax_number": "707-465-6070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Jackson St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802093183",
            "country_code": "US",
            "telephone_number": "303-321-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRETIEN",
        "first_name": "DANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "P.A.0005699",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "62097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Renee Chaffee
• Bruce L Chambers
• Thomas Chanez, D.D.S.
• Jennifer Chen, PHARM D
• Elizabeth Chernow, PH.D.
• Jame3S J Cipolla, RPH
• Scott Thomas Clark, LPCC
• Caryn Jean Cleland, SCHOOL COUNSELOR
• Perma Clendenin
• Coastal Cab Company LLC

• Physician Assistant in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.