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Dr. Jason Davis Mccraw , DC

Chiropractor β€’ Clearlake, CA

Active NPI 1568904969 Individual Practitioner Male Practitioner
Practice location in NPPES

15230 Lakeshore Dr
Clearlake, CA 954228107

Call 7079954500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15230 Lakeshore Dr

Clearlake, CA 954228107

Telephone 7079954500
Fax 7079949456
Organization at the Same NPPES Address or Phone
Lake Health Services Facility NPI 1770580268

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mccraw has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Clearlake and California

1 active clinicians are listed under Chiropractor with a practice address in Clearlake, CA (11,501 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-03-08
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES CA 33926

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

License # reported to NPPES ID CHIA-1745

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Group Npi 1477811750
271532466

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CHIROPRACTIC

Medicare Enrollment ID

I20200115001379

Enrollment State Jurisdiction

CA

PECOS Control ID

3375824782

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
Dr. Sonja Derose , MD

Family Medicine

NPI 1558849661

Doctor of Medicine (M.D.)

Nadya Friedman

Psychiatry & Neurology - Psychiatry

NPI 1811048911
Rommel Gayagoy , FNP

Nurse Practitioner

NPI 1780140046

Family Nurse Practitioner

Dr. Manush Ghazaryan , MD

Internal Medicine

NPI 1548962566

Doctor of Medicine (M.D.)

Dr. Raymond Jennings , MD

Internal Medicine

NPI 1386659167

Doctor of Medicine (M.D.)

Katarina Juhaszova , PA-C

Physician Assistant

NPI 1295137297

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location March 09, 2023

Registered at 15230 LAKESHORE DR, CLEARLAKE, CA 954228107 (Tel: 7079954500)

πŸ“
Updated Business Mailing Address March 09, 2023

Registered at 15230 LAKESHORE DR, CLEARLAKE, CA 954228107 (Tel: 7079954500)

πŸ“
Updated Practice Location October 30, 2020

Registered at 13300 NEW AIRPORT RD, STE 102, AUBURN, CA 956027407 (Tel: 1208292487)

πŸ“
Updated Business Mailing Address October 30, 2020

Registered at 13300 NEW AIRPORT RD, STE 102, AUBURN, CA 956027407 (Tel: 1208292487)

βœ…
NPI Profile Active November 16, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 16, 2016

Registered at 1019 W LACROSSE AVE, COEUR D ALENE, ID 838142418 (Tel: 1208292487)

πŸ“
Business Mailing Address (Initial Record) November 16, 2016

Registered at 1019 W LACROSSE AVE, COEUR D ALENE, ID 838142418 (Tel: 1208292487)

πŸ‘€
Provider Name / Credentials (Initial Record) November 16, 2016

Recorded as JASON MCCRAW, D.C.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2016

Chiropractor (license number reported to NPPES: ID CHIA-1745)

🟒
Initial NPI Registration & Enumeration November 16, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568904969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2016
Last Update: March 09, 2023
Sole Proprietor: No

Mailing Address

15230 Lakeshore Dr

Clearlake, CA 954228107

Phone: 7079954500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.