Active NPI
Nicholas Kyle Crabill, D.C.
- Chiropractor
- Wildomar, CA
National Provider Identifier
1841332707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC30396
- Practice address
- 32395 Clinton Keith Rd Ste 9B
Wildomar, CA 92595-8509 - Phone
- (951) 304-9949
- Fax
- (951) 304-9975
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 30396 | CA | |
| Chiropractor | 111N00000X | DC30396 | CA | Primary |
Addresses
Primary practice location
32395 Clinton Keith Rd Ste 9B
Wildomar, CA 92595-8509
Mailing address
24335 Prielipp Rd
Suite 129
Wildomar, CA 92595-7426
Phone (951) 304-9949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150223001638 | CA | Practitioner - Chiropractic | 9638495344 | Practice locations: Wildomar, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
24335 Prielipp Rd
Suite 129
Wildomar, CA 92595-7428
Phone (951) 304-9949
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC30396 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1841332707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24335 PRIELIPP RD",
"address_2": "SUITE 129",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925957426",
"telephone_number": "951-304-9949",
"fax_number": "951-304-9975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32395 CLINTON KEITH RD STE 9B",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925958509",
"telephone_number": "951-304-9949",
"fax_number": "951-304-9975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABILL",
"first_name": "NICHOLAS",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "30396",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC30396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wildomar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.