ROBERT CRAIG (NPI# 1114474111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114474111 |
| Entity Type | Individual |
| Full Name | ROBERT CRAIG |
| Practice Address |
12450 Van Nuys Blvd Suite 200 Pacoima CA 91331-1391 |
| Practice Telephone | 8188961161 |
| Practice Fax Number | 8188965069 |
| Mailing Telephone | 8188961161 |
| Mailing Fax Number | 8188965069 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 6758 | 05 | |
| CA | 7068 | 05 | |
| CA | 7420 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679816631 | Robert Winston Craig | Podiatrist | 7545 Beechmont Ave., Cincinnati, OH 45255-4231 | 2013-03-28 |
| 1114209533 | Robert Christopher Craig | Durable Medical Equipment & Medical Supplies | 26014 Mirage Ct, Moreno Valley, CA 92555-1773 | 2011-09-12 |
| 1699077800 | Robert Craig | Dentist | 104c Adair Dr, Goldsboro, NC 27530-4516 | 2010-11-19 |
| 1750432423 | Robert J Craig | Dentist | 2020 West St, Union City, NJ 07087-3339 | 2007-01-16 |
| 1871680108 | Robert Mitchell Craig Jr. | Dentist | 921 East Contour Dr., San Antonio, TX 78212-1763 | 2006-10-06 |
| 1346275138 | Robert Laird Craig | Surgery | 504 Jack Miller Rd Ste 6, Ville Platte, LA 70586-5600 | 2006-07-11 |
| 1083675532 | Robert Mahlon Craig | Surgery | Evans Army Community Nhospital (each) Usa Meddac, General Surgery Clinic, Fort Carson, CO 80913-4604 | 2006-03-31 |
| 1194791426 | Robert Paul Craig | Psychologist | 3226 State Route 257, Seneca, PA 16346-2434 | 2006-02-27 |
| 1265436711 | Robert Daniel Craig | Otolaryngology | 777 S New Ballas Rd, Ste 320e, Saint Louis, MO 63141-8789 | 2005-06-10 |
| 1417399486 | Robert D Craig | Specialist/Technologist | 201 Pennsylvania Pkwy, Suite 100, Indianapolis, IN 46280-2301 | 2013-07-19 |
| Street Address |
12450 VAN NUYS BLVD SUITE 200 |
| City | PACOIMA |
| State | CA |
| Zip Code | 91331-1391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578506002 | Karl Bandyan | Psychiatry & Neurology | 12450 Van Nuys Blvd, 200, Pacoima, CA 91331-1391 | 2006-06-13 |
| 1912408857 | Sarah Sluder | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Pacoima, CA 91331-1391 | 2018-02-26 |
| 1043738370 | Sam Mavis | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd, Pacoima, CA 91331-1391 | 2017-09-07 |
| 1215467832 | Marcus Johnson | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 | 2017-06-15 |
| 1982139515 | Donna Brown | Licensed Vocational Nurse | 12450 Van Nuys Blvd, 200, Pacoima, CA 91331-1391 | 2017-04-20 |
| 1114468931 | Sharron Gilmore | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, 200, Pacoima, CA 91331-1391 | 2017-03-13 |
| 1629519632 | Mayra Sandoval | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331-1391 | 2017-03-10 |
| 1336689959 | Shalmar Neal | Marriage & Family Therapist | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 | 2017-03-01 |
| 1275070542 | Veronica R Raniwala | Social Worker | 12450 Van Nuys Blvd, Pacoima, CA 91331 | 2017-01-25 |
| 1699212225 | Consuelo Macias | Case Manager/Care Coordinator | 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331-1391 | 2017-01-20 |
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|---|---|---|---|---|
| 1992315956 | Kimberly Marie Tallas | Dental Assistant | 9745 Laurel Canyon, Pacoima, CA 91331 | 2020-08-05 |
| 1841822574 | Hathaway-sycamores Child and Family Services | Psychologist | 11505 Herrick Ave, Pacoima, CA 91331 | 2020-02-11 |
| 1649810995 | Amaris Care Inc | Home Health | 8953 Woodman Ave Ste 201, Arleta, CA 91331 | 2020-01-14 |
| 1801453758 | Hathaway Sycamores Child and Family Services | Psychologist | 13233 Eustace St., Pacoima, CA 91331 | 2019-05-28 |
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1467972364 | Msa Pharmaceutical Services Corporation | Pharmacy | 9720 Woodman Ave, Arleta, CA 91331 | 2017-06-21 |
| 1508213588 | Yari Meita Fanusie | Counselor | 11643 Glenoaks Blvd., Pacoima, CA 91331 | 2016-05-19 |
| 1972992915 | Ray Ayala | Counselor | 16643 Glenoaks Bl., Pacoima, CA 91331 | 2015-01-14 |
| 1538569249 | Ludivina Gutierrez | Occupational Therapist | 14061 Terra Bella Street, Arleta, CA 91331 | 2014-08-29 |
| 1043646557 | Umoh-chidi Daniel | Physical Therapist | 12418 Gain St., Pacoima, CA 91331 | 2013-09-17 |
| Find all providers in zip 91331 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1457784324 | Victor Hugo Gone | Student in an Organized Health Care Education/Training Program | 9903 El Dorado Ave, Pacoima, CA 91331-3414 | 2013-08-15 |
| 1235744947 | Milena Tyler Von Wrangel | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-09-10 |
| 1508471384 | Ratiana Karapet | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2020-09-09 |
| 1861039125 | Benjamin Joly | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-12-05 |
| 1982240610 | Rebecca Robles | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-11-18 |
| 1588213466 | Eric Bridges | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-09-04 |
| 1376192245 | Allan Phillips | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-09-04 |
| 1396394268 | Giselle Gomez | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-09-04 |
| 1679121784 | Adela Gharabeki | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-09-01 |
| Find all providers in PACOIMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.