MS. MONIQUE ROXANNE CRAIG (NPI# 1962557892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962557892 |
| Entity Type | Individual |
| Full Name | MS. MONIQUE ROXANNE CRAIG |
| Credential | P.A |
| Practice Address |
301 N Prairie Ave Ste 210 Inglewood CA 90301-4509 |
| Mailing Address |
8705 S 6th Ave Inglewood CA 90305-2411 |
| Practice Telephone | 3106778545 |
| Mailing Telephone | 3234490177 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 14143 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA. P.A LICENSE | PA14143 | 01 |
| Street Address |
301 N PRAIRIE AVE STE 210 |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689712242 | Robin Deanna Riley-garner | Physician Assistant | 3215 W Imperial Hwy, Inglewood, CA 90303-2810 | 2007-02-03 |
| 1447326459 | Lynn T. Kamoto | Physician Assistant | 832 S Grevillea Ave, Inglewood, CA 90301-3312 | 2006-11-28 |
| 1841288297 | Lisa L Lumar | Physician Assistant | 501 E Hardy St Ste 205, Inglewood, CA 90301-4021 | 2005-10-10 |
| 1952944233 | Maria Elena Castro | Physician Assistant | 832 S Grevillea Ave, Inglewood, CA 90301-3312 | 2019-10-19 |
| 1275197501 | Natasha Kimberly Bove | Physician Assistant | 832 S Grevillea Ave, Inglewood, CA 90301-3312 | 2019-04-22 |
| 1609341379 | Kira Rohrer | Physician Assistant | 501 E Hardy St, Inglewood, CA 90301-4054 | 2018-10-09 |
| 1265773907 | Carlos Rosas | Physician Assistant | 832 S Grevillea Ave, Inglewood, CA 90301-3312 | 2013-03-05 |
| 1588913107 | Artur Ambartsumyan | Physician Assistant | 8444 Crenshaw Blvd, Inglewood, CA 90305-1914 | 2012-08-29 |
| 1457637340 | Kevin Anthony Pape | Physician Assistant | 501 E Hardy St, Suite 200, Inglewood, CA 90301-4054 | 2011-10-24 |
| 1639406101 | Amini Medical Care, Inc. | Physician Assistant | 11161 Crenshaw Blvd, 170, Inglewood, CA 90303-2336 | 2009-11-04 |
| Find all providers in INGLEWOOD | ||||
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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.