Active NPI
Christopher N Crespo, PA
- Surgical Physician Assistant
- Oceanside, CA
National Provider Identifier
1982991030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA21046
- Practice address
- 4002 Vista Way
Oceanside, CA 92056-4506 - Phone
- (619) 549-3284
- NPI assigned
- Jul 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA21046 | CA | Primary |
Addresses
Primary practice location
4002 Vista Way
Oceanside, CA 92056-4506
Mailing address
300 Carlsbad Village Dr
Ste 108A395
Carlsbad, CA 92008-2900
Phone (619) 549-3284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 753-6501
Hospital & facility affiliations
- Tri-City Medical Center
- Palomar Health Downtown Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21046 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Adam S. Fierer MD, Inc. | Past | Accepting new patients |
Interoperability endpoints
- ccrespo80921@scrippshlth.medalliesdirect.net
Organizations & group practices 4
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.
-
- Vascular Surgery Physician
- Carlsbad, CA
- NPI 1548635915
-
- Pulmonary Disease Physician
- Encinitas, CA
- NPI 1841387214
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Surgery Physician
- Oceanside, CA
- NPI 1457624595
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1982991030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CARLSBAD VILLAGE DR",
"address_2": "STE 108A395",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082900",
"telephone_number": "619-549-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4002 VISTA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564506",
"telephone_number": "619-549-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRESPO",
"first_name": "CHRISTOPHER",
"middle_name": "N",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-08",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA21046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.