JUSTIN CRANDELL (NPI# 1467857581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467857581 |
| Entity Type | Individual |
| Full Name | JUSTIN CRANDELL |
| Practice Address |
3001 L St Sacramento CA 95816-5225 |
| Practice Telephone | 9167061520 |
| Practice Fax Number | 9167061551 |
| Mailing Telephone | 9167061520 |
| Mailing Fax Number | 9167061551 |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | CF0O3556 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3001 L ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-5225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992993554 | Ferhan Inam Maher | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2007-10-09 |
| 1225429798 | Shannon Mullaney | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2015-02-05 |
| 1700282423 | Michael Angel | Orthotic Fitter | 3001 L St, Sacramento, CA 95816-5225 | 2014-11-06 |
| 1144625278 | Chris Haas | Orthotic Fitter | 3001 L St, Sacramento, CA 95816-5225 | 2014-10-31 |
| 1588950653 | Lucas Broadhurst | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2011-06-27 |
| 1164718235 | George Villarruel | Prosthetist | 3001 L St, Sacramento, CA 95816-5225 | 2011-06-27 |
| 1033367271 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 3001 L St, Sacramento, CA 95816-5225 | 2008-08-29 |
| 1265688592 | David J. Scurti | Orthotist | 3001 L St, Sacramento, CA 95816-5225 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598225807 | Nicholas Degabriele | Orthotic Fitter | 3814 Auburn Blvd Ste 75, Sacramento, CA 95821-2123 | 2019-03-22 |
| 1700282423 | Michael Angel | Orthotic Fitter | 3001 L St, Sacramento, CA 95816-5225 | 2014-11-06 |
| 1144625278 | Chris Haas | Orthotic Fitter | 3001 L St, Sacramento, CA 95816-5225 | 2014-10-31 |
| 1821287673 | Sandra West | Orthotic Fitter | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-17 |
| 1225227077 | Michele A Hicks | Orthotic Fitter | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-17 |
| 1144418443 | Faye Figueroa | Orthotic Fitter | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-10-11 |
| 1134314396 | Javier Aguilar | Orthotic Fitter | 1248 32nd St, Sacramento, CA 95816-5210 | 2007-09-11 |
| 1780703553 | Lula Marie Capuchino | Orthotic Fitter | 3601 Marconi Ave, Sacramento, CA 95821-5309 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547474 | June Sean | Orthotic Fitter | 1830 W Olympic Blvd Ste 123, Los Angeles, CA 90006-3734 | 2019-09-16 |
| 1265930903 | Advanced Therapy Center | Orthotic Fitter | 3475 Torrance Blvd Ste B2, Torrance, CA 90503-5800 | 2018-01-29 |
| 1740796754 | Vincent Leonard Reeves | Orthotic Fitter | 1815 Orange St, National City, CA 91950-6127 | 2017-12-28 |
| 1801244389 | Colleen Wendtland | Orthotic Fitter | 1468 Pepper Ln, Banning, CA 92220-1469 | 2016-05-25 |
| 1336487263 | Covenant Billing Services, Inc | Orthotic Fitter | 5817 Pine Ave, Suite B, Chino Hills, CA 91709-6533 | 2013-01-28 |
| 1497041438 | Peter P Kim | Orthotic Fitter | 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 | 2011-06-28 |
| 1659602423 | Suzanne Pilegaard | Orthotic Fitter | 101 Wikup Drive, Suite C, Santa Rosa, CA 95403-1375 | 2010-01-19 |
| 1598098139 | Ryan Michael Solberg | Orthotic Fitter | 10361 Estates Drive, Truckee, CA 96161 | 2009-09-15 |
| 1467683805 | Abelardo Ramos | Orthotic Fitter | 227 E Chapman Ave, Suite A, Orange, CA 92866-1534 | 2009-08-03 |
| 1982871166 | Healing Hands Rehab Inc | Orthotic Fitter | 23586 Calabasas Rd Ste 206, Calabasas, CA 91302-1330 | 2008-05-15 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.