CRAIG J. WALL DO
NPI 1962580647
Physical Medicine & Rehabilitation in Roseville, CA
About Craig J. Wall Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRAIG J. WALL DO (NPI 1962580647) is an individual physical medicine & rehabilitation provider in Roseville, California, licensed in California (20A7179) and active in the NPI registry since November 2006. He 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)
Craig J. Wall Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Craig Wall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- 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.
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
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 Craig Wall's NPI number?
The NPI number for Craig Wall is 1962580647. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is Craig Wall located?
Craig Wall practices at 1600 Eureka Rd, Roseville, CA 95661. The listed phone number is (916) 784-4000.
What is Craig Wall's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Craig Wall enrolled in Medicare?
Yes. Craig Wall is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Craig Wall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Craig Wall reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Craig Wall'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 Craig Wall was last updated on December 6, 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.