Monique Roxanne Craig, P.A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 14143 Issued in CA

Practice address

301 N Prairie Ave Ste 210
Inglewood, CA 90301-4509

Phone

(310) 677-8545

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Pediatric Affiliates Medical Group Inc

  • Pediatrics Physician
  • West Hills, CA
  • NPI 1053410506
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962557892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 S 6TH AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052411",
            "telephone_number": "323-449-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N PRAIRIE AVE STE 210",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014509",
            "telephone_number": "310-677-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "MONIQUE",
        "middle_name": "ROXANNE",
        "name_prefix": "Ms.",
        "credential": "P.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 14143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA. P.A LICENSE",
            "identifier": "PA14143",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Los Angeles (Curtis Tucker Health Center)
• County of Los Angeles - Auditor Controller (Curtis Tucker Health Center)
• County of Los Angeles Auditor Controller (Curtis Tucker Health Center)
• Courtney S. Scott, MD Inc.
• Latoya R. Courtney-Reinhold, N.P.
• Wendy Marie Crandall-Cohen, M.A., MFT
• Cranford L. Scott, M.D., Inc.
• Crawford Ministries, Inc.
• Hortense G Crawford
• Tiffany Creer

• Medical Physician Assistant in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.