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LISA CROCKOM
NPI 1730722539
Technician - Attendant Care Provider in Los Angeles, CA

Active since October 24, 2019
1838 E. BADILLO STREET APT 1, LOS ANGELES, CA 90001(626) 324-2190 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lisa Crockom NPPES

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

LISA CROCKOM (NPI 1730722539) is an individual attendant care provider provider in Los Angeles, California and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1730722539
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameLISA CROCKOM
Location Address1838 E. BADILLO STREET APT 1Los Angeles, CA 90001
Mailing Address1838 E Badillo St Apt 1West Covina, CA 91791-1107
Phone(626) 324-2190
Sole ProprietorYes
Enumeration DateOctober 24, 2019
✔ NPI 1730722539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
1838 E. BADILLO STREET APT 1, Los Angeles, CA 90001
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Lisa Crockom's NPI number?

The NPI number for Lisa Crockom is 1730722539. It was assigned to this individual provider in the NPPES registry on October 24, 2019.

Where is Lisa Crockom located?

Lisa Crockom practices at 1838 E. Badillo Street Apt 1, Los Angeles, CA 90001. The listed phone number is (626) 324-2190.

What is Lisa Crockom's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Lisa Crockom was last updated on October 24, 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.