Craniofacial Medical Assoc of Chrco

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A549520 Issued in CA

Legal business name

CRANIOFACIAL MEDICAL ASSOC OF CHRCO

Practice address

747 52ND St
Oakland, CA 94609-1809

Phone

(510) 428-3150

Fax

(510) 601-3989

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Elio Leavitt Gizzi, MD

Title

Medical Director

Phone

(510) 428-3150

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Craniofacial Med Assoc Cho2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Craniofacial Med Assoc Cho

  • Pediatric Critical Care Medicine Physician
  • Oakland, CA
  • NPI 1063549897
  NPD tax ID

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780601401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3150",
            "fax_number": "510-601-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3150",
            "fax_number": "510-601-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL MEDICAL ASSOC OF CHRCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIZZI",
        "authorized_official_first_name": "ELIO",
        "authorized_official_middle_name": "LEAVITT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "510-428-3150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A549520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA. LICENSE NUMBER",
            "identifier": "A549520",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0095820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Isabella Crameri
• Amanda Helen Chadwell Crane, RD
• Ursula Anne Crane, CNM, NP, RN
• Cranial Technologies, Inc.
• Craniofacial Med Assoc Cho
• Cheryl Cranshaw, LMFT
• Rachel Cratsenburg, AMFT
• Jlynn Charlisa Cravanas Sasser, BEHAVIORAL HEALTH
• Keesha Cravanas, CNS
• Leslie Marie Craven, OTR/L

• Pediatrics Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.