Emily Crandall, M.D

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

G43175 Issued in CA

Legal business name

EMILY CRANDALL, M.D

Practice address

1807 Wilshire Blvd
Suite C
Santa Monica, CA 90403-5652

Phone

(310) 453-3452

Fax

(310) 453-2563

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Emily Crandall, M.D.NPI 1437257813

Title

Owner

Phone

(310) 453-3452

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Emily Crandall, M.D.

  • Specialist
  • Santa Monica, CA
  • NPI 1437257813
  NPD (past) Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1851442537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 WILSHIRE BLVD",
            "address_2": "SUITE C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035652",
            "telephone_number": "310-453-3452",
            "fax_number": "310-453-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 WILSHIRE BLVD",
            "address_2": "SUITE C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035652",
            "telephone_number": "310-453-3452",
            "fax_number": "310-453-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY CRANDALL, M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "CRANDALL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-453-3452",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G43175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G431750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.