DR. REBECCA LEIGH CRANDALL M.D.
NPI 1700051901
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since April 28, 2008Opted out of Medicare · through Jan 6, 2028
11611 SAN VICENTE BLVD, SUITE 600, LOS ANGELES, CA 90049(310) 284-3684 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rebecca Leigh Crandall M.d. NPPES

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

DR. REBECCA LEIGH CRANDALL M.D. (NPI 1700051901) is an individual psychiatry provider in Los Angeles, California, licensed in California (G077214) and active in the NPI registry since April 2008. She has opted out of Medicare through January 6, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1700051901
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. REBECCA LEIGH CRANDALLCredential: M.D.
Location Address11611 SAN VICENTE BLVD, SUITE 600Los Angeles, CA 90049-5106
Mailing Address11611 San Vicente Blvd, Suite 600Los Angeles, CA 90049-5106 · (310) 284-3684
Sole ProprietorYes
Enumeration DateApril 28, 2008
NPI 1700051901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · G077214
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License G077214 (CA)
11611 SAN VICENTE BLVD, Los Angeles, CA 90049

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Rebecca Leigh Crandall M.d. 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 6, 2016 through January 6, 2028.

Opt-Out Effective DateJanuary 6, 2016
Opt-Out In Effect ThroughJanuary 6, 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 90049 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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.

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.

Chiropractor
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Physical Therapist
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Specialist
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Clinic/Center
11611 SAN VICENTE BLVD, LOBBY LEVEL
LOS ANGELES, CA 90049
Legal Medicine
11611 SAN VICENTE BLVD, GROUND FLOOR
LOS ANGELES, CA 90049
Massage Therapist
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Health and Wellness Coach
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049
Physician Assistant
11611 SAN VICENTE BLVD
LOS ANGELES, CA 90049

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 Rebecca Crandall's NPI number?

The NPI number for Rebecca Crandall is 1700051901. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Where is Rebecca Crandall located?

Rebecca Crandall practices at 11611 San Vicente Blvd Suite 600, Los Angeles, CA 90049. The listed phone number is (310) 284-3684.

What is Rebecca Crandall's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Rebecca Crandall enrolled in Medicare?

No. Rebecca Crandall has opted out of Medicare through January 6, 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 Rebecca Crandall was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.