John A Crockett Md, A Professional Corporation
LBN: John A Crockett Md A Professional Corporation
John A Crockett Md, A Professional Corporation is an health care organization with primary practice located at 240 La Casa Via Ste 100 , Walnut Creek CA 94598-4863. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
John A Crockett Md A Professional Corporation can be contacted via phone (925) 519-2866, or through Stemmler, Karl F via phone (619) 258-6200.
Contact Information
Primary practice address
240 La Casa Via Ste 100
Walnut Creek CA 94598-4863
Phone: (925) 519-2866
Fax: (925) 692-5522
Website:
Authorized official contact:
Name: Stemmler, Karl F Master of Public Administration (MPA)
Phone: (619) 258-6200
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G230620 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G230620 | California |
Profile Details
| NPI number | 1265758460 |
|---|---|
| LBN Legal business name | John A Crockett Md A Professional Corporation |
| DBA Doing business as | John A Crockett Md, A Professional Corporation |
| Authorized official | Stemmler, Karl F Master of Public Administration (MPA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 13th, 2010 |
| Last updated | Dec 22nd, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265758460 | NPPES |
| California | MEDICAID | 1134221021 |
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