Andrea Cracchiolo, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A21344 Issued in CA

Practice address

200 UCLA Medical PLZ
Suite 140
Los Angeles, CA 90095-8344

Phone

(310) 319-1234

NPI assigned

Nov 27, 2006

Last updated

Jun 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Edward M. Young, Jr., MD Inc.

  • Dermatology Physician
  • Tarzana, CA
  • NPI 1508035338
  NPD (past)
• Neil a Martin, MD, Inc

  • Neurological Surgery Physician
  • Los Angeles, CA
  • NPI 1235397902
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1952477531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-319-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ",
            "address_2": "SUITE 140",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958344",
            "telephone_number": "310-319-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRACCHIOLO",
        "first_name": "ANDREA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "A21344",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A21344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A213440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CR Dygert & Co (W M Solutions)
• Kori Beth Crabb, RAD-T
• Raymond S Crabbs, PT
• Molly Crabtree, M.S. CCC-SLP
• Andreea-Camelia Cracana, AMFT
• Solomon Cracchiolo
• Marquell Marcus Craddock, MD
• Gena Catherine Craemer, FNP
• Craft Wheelchair Repair
• David Craft, CP

• Orthopaedic Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.