DR. CRAIG C CORP (NPI# 1821090945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821090945 |
| Entity Type | Individual |
| Full Name | DR. CRAIG C CORP |
| Credential | M.D. |
| Practice Address |
3100 Douglas Blvd Roseville CA 95661-3866 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9167798500 |
| Practice Fax Number | 9167313422 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2015-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G84068 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G840680 | 05 |
| Street Address |
3100 DOUGLAS BLVD |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568007441 | Bei Bei Lee | Physician Assistant | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2019-11-14 |
| 1023661501 | Jenina Segale | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2019-07-23 |
| 1063987675 | Gina M Whiteley I | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2018-10-10 |
| 1205341096 | Betsy Hennessy | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2017-12-04 |
| 1104358571 | Kenny Bains | Family Medicine | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2017-04-03 |
| 1104363449 | Patricia Marie Dixson | Nurse Practitioner | 3100 Douglas Blvd, Suite 325, Roseville, CA 95661-3866 | 2017-01-25 |
| 1063874196 | Rupinder Tumber | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2016-03-28 |
| 1184089260 | Cristin Mater | Registered Nurse | 3100 Douglas Blvd, Roseville, CA 95661 | 2015-12-16 |
| 1699141705 | Tandis Bishop | Dietitian, Registered | 3100 Douglas Blvd, Roseville, CA 95661-3866 | 2015-08-12 |
| 1902285729 | Kanta Dhanda | Family Medicine | 3100 Douglas Blvd, Roseville, CA 95661 | 2015-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215368071 | Byron Johnson | Pediatrics | 1944 Shryer Ave W, Roseville, MN 55113-5415 | 2013-12-04 |
| 1528227253 | Judy A Cook | Pediatrics | 1856 Ridgeview Dr, Roseville, CA 95661-5835 | 2008-06-06 |
| 1235352220 | Rhonette Estelle Jackson | Pediatrics | 151 N Sunrise Ave Ste 1309, Roseville, CA 95661-2933 | 2007-04-10 |
| 1497892772 | Meghan Norton Davignon | Pediatrics | 1600 Eureka Rd Bldg C2nd, Roseville, CA 95661-3027 | 2007-01-30 |
| 1134291453 | David L Bannister | Pediatrics | 729 Sunrise Ave #501, Roseville, CA 95661 | 2006-11-14 |
| 1962473686 | Lakshmi Kumari Avala | Pediatrics | 902 Cirby Way, Roseville, CA 95661-4420 | 2006-01-30 |
| 1023551751 | Olivia Hoang-kelada | Pediatrics | 2261 Douglas Blvd, Roseville, CA 95661-3831 | 2016-11-29 |
| 1083078091 | Patricia Tenold | Pediatrics | 1840 Sierra Gardens Dr, Roseville, CA 95661-2912 | 2016-04-06 |
| 1396139853 | Sarah Elizabeth Henshaw | Pediatrics | 3100 Douglas Blvd, Roseville, CA 95661 | 2015-03-23 |
| 1619223534 | Kathy Lewis | Pediatrics | 151 N Sunrise Ave Ste 1309, Roseville, CA 95661-2933 | 2012-07-29 |
| Find all providers in ROSEVILLE | ||||
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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.