MARISA LYNN CRAWFORD D.O.
NPI 1093161465
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Marisa Lynn Crawford D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISA LYNN CRAWFORD D.O. (NPI 1093161465) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marisa Lynn Crawford D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marisa Crawford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marisa Crawford's NPI number?
The NPI number for Marisa Crawford is 1093161465. It was assigned to this individual provider in the NPPES registry on May 4, 2016.
Where is Marisa Crawford located?
Marisa Crawford practices at 1200 N State St Cta7d, Los Angeles, CA 90089. The listed phone number is (323) 226-5700.
What is Marisa Crawford's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Marisa Crawford enrolled in Medicare?
Yes. Marisa Crawford is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marisa Crawford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Crawford reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marisa Crawford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marisa Crawford was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marisa Lynn Crawford, D.O. · NPI 1093161465
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 4, 2016.
## Identity
- **NPI:** 1093161465 (Entity type: Individual)
- **Enumerated:** May 4, 2016
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N STATE ST, CTA7D, Los Angeles, CA 90089-1001
- **Phone:** (323) 226-5700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1093161465) · Data from the CMS NPPES public registry.