Individual provider Active NPI

Craig G Phelps, P.T.

  • Specialist
  • Salinas, CA
National Provider Identifier
1902987159
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
77-0003731 Issued in CA
Practice address
102 San Miguel Ave
Salinas, CA 93901-3057
Phone
(831) 757-6834
Fax
(831) 757-9378
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 77-0003731 CA Primary

Addresses

Primary practice location

102 San Miguel Ave
Salinas, CA 93901-3057

Mailing address

102 San Miguel Ave
Suite B
Salinas, CA 93901-3057
Phone (831) 757-6834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8695CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
OB GYN Associates of the Central Coast Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1902987159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SAN MIGUEL AVE",
            "address_2": "SUITE B",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013057",
            "telephone_number": "831-757-6834",
            "fax_number": "831-757-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SAN MIGUEL AVE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013057",
            "telephone_number": "831-757-6834",
            "fax_number": "831-757-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "CRAIG",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "77-0003731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.