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CARLA N CRESPO PA-C
NPI 1205964020
Physician Assistant in Marina Del Rey, CA

Active since March 01, 2007Opted out of Medicare · through Jan 1, 2028
4640 ADMIRALTY WAY STE 1000, MARINA DEL REY, CA 90292(310) 300-1779(310) 494-0509 Get Directions Write a Review

NPPES record last updated: November 1, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Carla N Crespo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLA N CRESPO PA-C (NPI 1205964020) is an individual physician assistant in Marina Del Rey, California, licensed in California (18086) and active in the NPI registry since March 2007. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer and maintains a secondary practice location in Marina Del Rey.

NPPES Registry Identity

NPI1205964020
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLA N CRESPOCredential: PA-C
Location Address4640 ADMIRALTY WAY STE 1000Marina Del Rey, CA 90292-6672
Mailing Address4640 Admiralty Way Ste 1000Marina Del Rey, CA 90292-6672 · (310) 300-1779 · Fax (310) 494-0509
Phone(310) 300-1779
Fax(310) 494-0509
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateNovember 1, 2019
✔ NPI 1205964020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 18086
Definition
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.
4640 ADMIRALTY WAY STE 1000, Marina Del Rey, CA 90292
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Secondary Practice Location 1

Location 14640 Admiralty Way Ste 1000Marina Del Rey, CA 90292 · Phone (310) 956-1529 · Fax (310) 494-0509

Other Identifiers 1

Other954766478CA · Ein

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carla N Crespo Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Carla Crespo's NPI number?

The NPI number for Carla Crespo is 1205964020. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Carla Crespo located?

Carla Crespo practices at 4640 Admiralty Way Ste 1000, Marina Del Rey, CA 90292. The listed phone number is (310) 300-1779.

What is Carla Crespo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carla Crespo enrolled in Medicare?

No. Carla Crespo has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carla Crespo was last updated on November 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.