Active NPI 1861699621 Individual Practitioner Male Practitioner

Craig Chase , PA-C

Physician Assistant • Walnut, CA

Professional Overview & Biography Verified Profile Summary

Craig Chase, PA-C is a registered healthcare professional specializing in Physician Assistant in Walnut, CA. Practice services are available at 18710 AMAR RD STE A under active NPI credentials.

Frequently performed procedures and clinical services include hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg, injection of additional new drug or substance into vein, injection, lidocaine hcl for intravenous infusion, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18710 Amar Rd Ste A

Walnut, CA 917894571

Telephone 6265226553

Fax 8444001763

Associated Practice Facility / Clinic

🏢 Center Of Regenerative Medicine Physician Assistant Services Inc Facility NPI 1205342417

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Walnut, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.0 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

6 Specialists

Practicing in Walnut, CA (14617 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg	1,804	27	$40.00	$10.79
96375 Injection of additional new drug or substance into vein	1,651	34	$75.00	$14.69
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	862	27	$25.00	$0.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	728	33	$75.00	$13.39
J7060 5% dextrose/water (500 ml = 1 unit)	382	28	$75.00	$1.72
J3490 Unclassified drugs	305	35	$225.08	$4.47
J7070 Infusion, d5w, 1000 cc	284	26	$59.15	$3.54
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	276	34	$150.00	$60.88
J3411 Injection, thiamine hcl, 100 mg	275	34	$75.00	$2.13
J3415 Injection, pyridoxine hcl, 100 mg	275	34	$30.00	$13.44
J3475 Injection, magnesium sulfate, per 500 mg	275	34	$45.00	$0.58
99213 Established patient office or other outpatient visit, typically 15 minutes	156	31	$200.00	$83.55
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	145	28	$10.00	$1.18
64722 Release of unspecified nerve	123	25	$475.00	$266.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	31	$275.00	$117.46
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	114	30	$175.00	$54.18
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	110	28	$373.18	$115.06
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	71	19	$400.00	$119.84
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	47	22	$125.00	$19.32
20610 Aspiration and/or injection of fluid from large joint	26	14	$236.54	$49.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	11	$175.00	$52.64
J7042 5% dextrose/normal saline (500 ml = 1 unit)	23	11	$50.00	$1.13
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$300.00	$164.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg	4,186	42	$32.64	$19.68
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml	500	30	$4.58	$4.51
96375 Injection of additional new drug or substance into vein	335	22	$75.00	$14.92
J3475 Injection, magnesium sulfate, per 500 mg	322	33	$10.50	$0.68
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	249	31	$26.61	$19.65
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	196	14	$22.71	$0.03
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	192	37	$115.52	$62.80
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	174	43	$321.84	$88.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	169	28	$74.70	$13.30
J3415 Injection, pyridoxine hcl, 100 mg	154	34	$23.96	$12.95
99213 Established patient office or other outpatient visit, typically 15 minutes	151	39	$155.50	$83.55
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	133	31	$50.00	$36.31
J3411 Injection, thiamine hcl, 100 mg	120	31	$40.34	$2.64
36410 Insertion of needle into vein, patient 3 years or older	111	30	$25.00	$10.18
J7030 Infusion, normal saline solution , 1000 cc	110	28	$10.00	$2.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	42	$188.92	$117.92
J1885 Injection, ketorolac tromethamine, per 15 mg	93	12	$9.46	$0.59
76937 Ultrasonic guidance for blood vessel access	89	24	$50.00	$37.92
J3490 Unclassified drugs	62	24	$246.29	$3.78
J7060 5% dextrose/water (500 ml = 1 unit)	60	11	$75.00	$1.60
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	57	21	$5.79	$1.90
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	44	24	$164.77	$55.12
20610 Aspiration and/or injection of fluid from large joint	31	14	$246.77	$54.31
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	28	18	$3167.86	$1616.74
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	19	16	$273.68	$117.77
64722 Release of unspecified nerve	18	12	$462.50	$269.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	6,202	44	$19.27	$18.38
J7331 Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg	1,080	22	$29.47	$24.00
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml	782	31	$5.00	$4.15
J3475 Injection, magnesium sulfate, per 500 mg	546	29	$2.86	$0.67
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	485	33	$25.00	$20.54
J1885 Injection, ketorolac tromethamine, per 15 mg	377	25	$10.00	$0.52
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	311	54	$300.00	$88.83
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	216	33	$100.37	$67.53
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	215	33	$50.00	$38.99
J3415 Injection, pyridoxine hcl, 100 mg	202	32	$20.00	$7.81
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	169	31	$5.09	$1.33
J3411 Injection, thiamine hcl, 100 mg	163	32	$4.50	$2.67
99213 Established patient office or other outpatient visit, typically 15 minutes	161	48	$120.50	$85.38
36410 Insertion of needle into vein, patient 3 years or older	160	32	$25.00	$12.57
76937 Ultrasonic guidance for blood vessel access	144	30	$50.00	$38.92
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	142	33	$5.00	$1.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	53	$150.40	$119.97
J7030 Infusion, normal saline solution , 1000 cc	53	19	$10.00	$2.62
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	45	22	$3500.00	$1760.69
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	30	19	$150.00	$56.13
76881 Complete ultrasound of joint of arm or leg	30	20	$275.00	$57.08
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	26	15	$300.00	$120.79
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	21	12	$145.00	$135.24
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	15	11	$150.00	$147.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	13,064	118	$17.90	$16.92
Q4177 Floweramnioflo, 0.1 cc	2,330	97	$205.01	$205.01
20610 Aspiration and/or injection of fluid from large joint	647	148	$110.71	$52.48
J3475 Injection, magnesium sulfate, per 500 mg	515	60	$6.97	$0.67
99213 Established patient office or other outpatient visit, typically 15 minutes	435	178	$83.45	$70.25
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml	387	60	$14.11	$3.92
77002 Fluoroscopic guidance for needle placement	373	128	$145.00	$116.19
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	277	98	$5.00	$0.33
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	210	59	$5.07	$1.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	209	93	$149.52	$121.86
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	205	61	$5.00	$1.93
J3415 Injection, pyridoxine hcl, 100 mg	204	60	$20.00	$10.43
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	200	61	$87.50	$72.24
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	197	59	$46.83	$40.89
J1885 Injection, ketorolac tromethamine, per 15 mg	156	35	$10.35	$0.47
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	154	48	$300.00	$82.41
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	134	31	$25.00	$21.51
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	90	43	$300.00	$123.49
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	84	53	$129.17	$55.75
J3411 Injection, thiamine hcl, 100 mg	66	27	$4.50	$3.02
20552 Injections of trigger points in 1 or 2 muscles	64	39	$75.00	$51.41
73560 X-ray of knee, 1-2 views	60	34	$50.00	$34.00
64624 Destruction of nerve branches of knee using imaging guidance	60	44	$625.00	$411.60
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	59	39	$3500.00	$1916.69
36475 Destruction of insufficient vein of arm or leg, accessed through the skin	57	35	$2750.00	$1282.32
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$150.78	$69.26
93970 Ultrasound study of arm or leg veins with compression and maneuvers	48	46	$400.00	$196.53
36410 Insertion of needle into vein, patient 3 years or older	43	22	$25.00	$10.78
76937 Ultrasonic guidance for blood vessel access	42	21	$50.00	$37.66
36415 Insertion of needle into vein for collection of blood sample	39	24	$5.00	$3.00
76881 Complete ultrasound of joint of arm or leg	33	26	$275.00	$64.86
73030 X-ray of shoulder, minimum of 2 views	18	12	$50.00	$33.92
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	18	14	$193.89	$136.29
20605 Aspiration and/or injection of medium joint or joint capsule	17	12	$70.00	$48.36
64454 Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance	17	13	$350.00	$214.53
24357 Incision of tendon to repair elbow joint, accessed through the skin	13	13	$538.46	$355.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	23,785	172	$17.11	$16.87
Q4177 Floweramnioflo, 0.1 cc	13,254	204	$205.82	$203.44
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml	2,792	122	$28.96	$3.92
96375 Injection of additional new drug or substance into vein	2,785	114	$26.46	$15.98
20610 Aspiration and/or injection of fluid from large joint	1,814	251	$109.93	$55.03
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	1,699	249	$5.00	$0.33
77002 Fluoroscopic guidance for needle placement	1,469	248	$144.82	$106.69
J3475 Injection, magnesium sulfate, per 500 mg	1,447	122	$26.65	$0.58
99213 Established patient office or other outpatient visit, typically 15 minutes	984	251	$73.90	$62.32
J3415 Injection, pyridoxine hcl, 100 mg	725	122	$20.00	$7.45
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	725	122	$5.00	$1.28
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	716	122	$87.37	$70.18
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	714	121	$46.84	$38.80
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	585	81	$24.93	$20.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	297	91	$5.00	$2.11
20552 Injections of trigger points in 1 or 2 muscles	272	89	$105.61	$51.93
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	205	97	$115.76	$54.82
73560 X-ray of knee, 1-2 views	191	107	$50.00	$32.85
36415 Insertion of needle into vein for collection of blood sample	133	82	$5.00	$2.97
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	128	25	$125.20	$80.57
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	124	60	$300.00	$121.05
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	114	58	$3500.00	$1915.80
20605 Aspiration and/or injection of medium joint or joint capsule	111	48	$70.79	$44.18
93970 Ultrasound study of arm or leg veins with compression and maneuvers	86	83	$398.84	$193.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	66	$141.98	$100.48
99202 New patient office or other outpatient visit, typically 20 minutes	84	84	$152.86	$71.85
76881 Complete ultrasound of joint of arm or leg	79	54	$275.00	$74.69
73030 X-ray of shoulder, minimum of 2 views	76	46	$49.41	$32.03
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	53	41	$225.94	$55.26
J1885 Injection, ketorolac tromethamine, per 15 mg	52	38	$36.63	$0.55
72100 X-ray of lower and sacral spine, 2-3 views	52	51	$50.00	$37.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$163.42	$101.12
73502 X-ray of hip, 2-3 views	32	26	$50.00	$44.38
72040 X-ray of upper spine, 2-3 views	21	21	$50.48	$37.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$49.64	$42.98
64454 Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance	13	12	$350.00	$209.13
20550 Injection into tendon or ligament	12	11	$120.00	$51.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0610 Injection, calcium gluconate (fresenius kabi), per 10 ml	2,730	108	$37.48	$3.43
96375 Injection of additional new drug or substance into vein	2,239	108	$29.54	$16.14
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	1,436	108	$7.08	$1.23
J3475 Injection, magnesium sulfate, per 500 mg	1,369	108	$46.79	$0.66
20610 Aspiration and/or injection of fluid from large joint	1,311	162	$110.01	$49.25
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	1,253	162	$5.15	$0.31
77002 Fluoroscopic guidance for needle placement	1,057	165	$144.67	$98.63
J3415 Injection, pyridoxine hcl, 100 mg	687	108	$20.00	$9.48
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	673	108	$51.47	$38.02
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	672	108	$94.29	$70.26
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour	606	81	$28.31	$20.78
99213 Established patient office or other outpatient visit, typically 15 minutes	588	168	$77.51	$62.17
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	532	106	$449.27	$309.28
Q4177 Floweramnioflo, 0.1 cc	460	16	$185.00	$166.37
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	421	98	$5.00	$1.77
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	400	80	$125.25	$80.17
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	224	89	$145.83	$53.72
36010 Insertion of tube into vena cava	171	43	$200.00	$196.95
20552 Injections of trigger points in 1 or 2 muscles	168	45	$76.04	$50.38
76881 Complete ultrasound of joint of arm or leg	163	84	$275.00	$85.28
73560 X-ray of knee, 1-2 views	133	70	$50.00	$31.42
J1885 Injection, ketorolac tromethamine, per 15 mg	123	59	$24.96	$0.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	76	$125.25	$93.34
36482 Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance	77	45	$3500.00	$2033.38
93970 Ultrasound study of arm or leg veins with compression and maneuvers	77	72	$379.61	$191.78
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	76	49	$300.00	$118.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$158.13	$100.69
73030 X-ray of shoulder, minimum of 2 views	45	30	$49.56	$29.19
20605 Aspiration and/or injection of medium joint or joint capsule	38	15	$75.26	$42.89
36415 Insertion of needle into vein for collection of blood sample	35	33	$11.14	$2.94
72100 X-ray of lower and sacral spine, 2-3 views	31	31	$50.00	$35.44
36478 Laser destruction of incompetent vein of arm or leg using imaging guidance	28	20	$2150.00	$1103.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$137.14	$126.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$50.00	$42.58
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$146.32	$71.62
64450 Injection of anesthetic agent, other peripheral nerve or branch	18	17	$173.33	$69.62
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	16	16	$225.00	$54.96
72040 X-ray of upper spine, 2-3 views	14	14	$52.50	$35.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	592	100	$110.13	$53.68
77002 Fluoroscopic guidance for needle placement	518	96	$145.00	$91.77
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	471	80	$125.05	$82.95
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	198	64	$139.70	$56.49
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	111	31	$5.41	$0.33
73560 X-ray of knee, 1-2 views	105	48	$62.86	$30.29
99213 Established patient office or other outpatient visit, typically 15 minutes	100	62	$70.10	$62.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	68	$90.63	$85.37
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	76	28	$161.71	$114.96
J1885 Injection, ketorolac tromethamine, per 15 mg	60	29	$37.33	$0.58
93970 Ultrasound study of arm or leg veins with compression and maneuvers	33	33	$244.24	$190.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	24	$131.25	$120.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	20	$50.93	$41.47
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$164.81	$70.43
72100 X-ray of lower and sacral spine, 2-3 views	17	16	$65.88	$33.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
27370 Injection of contract for X-ray imaging of knee	395	132	$284.15	$147.54
77002 Fluoroscopic guidance for needle placement	363	124	$145.85	$88.37
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	253	102	$136.36	$85.73
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	108	47	$1.01	$0.12
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	66	40	$134.09	$131.95
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	66	42	$138.90	$55.37
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	61	23	$127.46	$125.42
20610 Aspiration and/or injection of fluid from large joint	43	30	$111.86	$31.73
J1885 Injection, ketorolac tromethamine, per 15 mg	24	22	$58.33	$0.59
99213 Established patient office or other outpatient visit, typically 15 minutes	20	14	$84.00	$66.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$92.73	$90.94

Medical Specialties & State Licenses

CMS Verified: 2022-06-10

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA13105

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pa State License

PA13105 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location June 10, 2022

Registered at 18710 AMAR RD STE A, WALNUT, CA 917894571 (Tel: 6265226553)

✅

NPI Profile Active January 18, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 18, 2018

Registered at 2028 E EDGECOMB ST, COVINA, CA 917242203 (Tel: 6269652334)

📍

Updated Practice Location January 18, 2018

Registered at 2361 S AZUSA AVE, WEST COVINA, CA 917921537 (Tel: 6269652334)

👤

Provider Name / Credentials Updated January 18, 2018

Recorded as CRAIG CHASE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2018

Physician Assistant (License #PA13105 in CA)

✅

NPI Profile Active June 01, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 01, 2011

Registered at 2361 S AZUSA AVE, WEST COVINA, CA 917921537 (Tel: 6269652334)

📍

Updated Business Mailing Address June 01, 2011

Registered at 2361 S. AZUSA AVE, WEST COVINA, CA 917922011 (Tel: 6269652334)

👤

Provider Name / Credentials Updated June 01, 2011

Recorded as CRAIG CHASE, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2011

Physician Assistant (License #PA13105 in CA)

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Initial NPI Registration & Enumeration June 27, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861699621

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 27, 2007

Last Update: June 10, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2028 E Edgecomb St

Covina, CA 917242203

Phone: 6269652334

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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