JACQUELINE CRAIG (NPI# 1568752152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568752152 |
| Entity Type | Individual |
| Full Name | JACQUELINE CRAIG |
| Credential | M.D. |
| Practice Address |
3349 G St Ste C Merced CA 95340-0978 |
| Practice Telephone | 2095584000 |
| Practice Fax Number | 2095804163 |
| Mailing Telephone | 2095804638 |
| Mailing Fax Number | 2095804163 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A118055 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427577212 | Jacqueline Dubil Craig | Behavioral Analyst | 14 Elmendorf Lane, Pearl River, NY 10965 | 2017-09-13 |
| 1144667114 | Jacqueline E Craig | Dietitian, Registered | 3200 Vine St, Cincinnati, OH 45220-2213 | 2013-05-30 |
| Street Address |
3349 G ST STE C |
| City | MERCED |
| State | CA |
| Zip Code | 95340-0978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154785517 | Provident Primary Care Inc | Clinic/Center | 3349 G St Ste C, Merced, CA 95340-0978 | 2016-04-11 |
| 1912349291 | Ma Ana Leon Arbo | Registered Nurse | 3349 G St Ste C, Merced, CA 95340-0978 | 2013-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
| 1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
| 1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
| 1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
| 1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
| 1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
| 1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
| Find all providers in zip 95340 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366844862 | Navin Gogna Luthra | Family Medicine | 374 W. Olive Avenue, Suite A, Merced, CA 95348-5768 | 2014-09-16 |
| 1215298054 | Leila Boubshait | Family Medicine | 4218 Berryesa Ave, Merced, CA 95348-8557 | 2012-06-07 |
| 1538458591 | Noshaba Roohi Chughtai | Family Medicine | 378 W Olive Ave Ste A, Merced, CA 95348-3182 | 2011-03-30 |
| 1972801249 | James Michael Raveret | Family Medicine | 3020 N. Rambler Rd., Merced, CA 95348-3223 | 2011-03-10 |
| 1205134111 | Theresa T Chang | Family Medicine | 315 Mercy Ave Ste 301, Merced, CA 95340-8367 | 2011-03-02 |
| 1518119510 | Daniel Brent Leong | Family Medicine | 1573 Esplanade Dr, Merced, CA 95348-9623 | 2008-10-21 |
| 1518167238 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 378 W Olive Ave Ste B, Merced, CA 95348-3137 | 2007-07-20 |
| 1619176245 | Merced Faculty Associates Medical Group Incorporated | Family Medicine | 374 W Olive Ave Ste B, Merced, CA 95348-3137 | 2007-07-13 |
| 1932240710 | Anupam Khandelwal | Family Medicine | 847 West Childs Avenue, Merced, CA 95340 | 2007-02-12 |
| 1275612038 | Pamela Roussos | Family Medicine | 1146 Olivewood Dr, Merced, CA 95348-1210 | 2006-11-03 |
| Find all providers in MERCED | ||||
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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.