JULIE ALISON CRAGHOLM (NPI# 1356582084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356582084 |
| Entity Type | Individual |
| Full Name | JULIE ALISON CRAGHOLM |
| Credential | PA-C |
| Practice Address |
333 Oconnor Dr San Jose CA 95128-1623 |
| Practice Telephone | 4082973484 |
| Mailing Telephone | 4082973484 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA20175 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA20175 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA20175 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
333 OCONNOR DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639285927 | Jeffrey J Anderson | Specialist | 333 Oconnor Dr, San Jose, CA 95128-1623 | 2006-08-21 |
| 1235699307 | Meghan Lillian Mills | Nurse Practitioner | 333 Oconnor Dr, San Jose, CA 95128-1623 | 2019-03-23 |
| 1891090478 | Stephanie Ann Starritt | Physician Assistant | 333 Oconnor Dr, San Jose, CA 95128-1623 | 2011-01-13 |
| 1275723892 | Wendy Flapan D.o., Inc. | Physical Medicine & Rehabilitation | 333 Oconnor Dr, San Jose, CA 95128-1623 | 2007-07-30 |
| 1457423147 | Eugene D Dellamaggiore | Orthopaedic Surgery | 333 Oconnor Dr, San Jose, CA 95128-1623 | 2006-11-15 |
| 1588741433 | Wendy Flapan | Physical Medicine & Rehabilitation | 333 Oconnor Dr, San Jose, CA 95128-1623 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356701429 | Andrea Nola | Physician Assistant | 311 E Empire St, San Jose, CA 95112-3302 | 2016-03-02 |
| 1164847273 | Robert Bruce, Inc | Physician Assistant | 4950 Cherry Ave, #41, San Jose, CA 95118-2751 | 2014-02-26 |
| 1255343505 | Timothy Ole Hovland | Physician Assistant | 2505 Samaritan Dr Ste 210, San Jose, CA 95124-4008 | 2006-08-13 |
| 1124473756 | Mary Haas | Physician Assistant | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2016-05-02 |
| 1902215726 | Jessica Lorena Martinez | Physician Assistant | 2577 Samaritan Drive, Ste 810, San Jose, CA 95124-4103 | 2014-08-06 |
| 1467881821 | Lisa Finger | Physician Assistant | 260 International Cir, 1 North Orthopaedic Department, San Jose, CA 95119-1130 | 2013-11-06 |
| 1881913960 | Assist Surgery John | Physician Assistant | 2110 Forest Ave, San Jose, CA 95128-1469 | 2010-05-27 |
| 1831219344 | Harland Wong | Physician Assistant | 455 Oconnor Dr, Suite 310 B, San Jose, CA 95128-1633 | 2007-03-29 |
| 1902952013 | Brooke Davis | Physician Assistant | 260 International Cir, San Jose, CA 95119-1130 | 2007-01-25 |
| 1396890315 | Yong Bae | Physician Assistant | 260 International Cir, San Jose, CA 95119-1130 | 2007-01-23 |
| Find all providers in SAN JOSE | ||||
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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.