CRAIG FISHER (PA) – Physician Assistant, NPI 1114372174

CRAIG FISHER (PA) is a healthcare provider. based in Whittier, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 57999 (CA). The NPI Number for CRAIG FISHER (PA) is 1114372174

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG FISHER (PA)
NPI
1114372174
Phone
(562) 698-0811
Address
12401 WASHINGTON BLVD
Enumeration Date
27 April 2016
Last Update Date
30 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8056827111
Graduation Year
2016 (10 years ago)
PAC ID
7911281951
Group Practice PAC ID
1850712530
Professional Enrollment ID
I20200824003478
Address ID
CA934541447SA1846XBROA301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for CRAIG FISHER (PA)

  • 12401 WASHINGTON BLVD

    WHITTIER, CA 906021006

    Phone: (562) 698-0811

    Type: Mailing

  • 1375 E GRAND AVE # 126

    ARROYO GRANDE, CA 934202421

    Phone: (954) 592-4336

    Type: Mailing

  • 222 E CANON PERDIDO ST STE 204

    SANTA BARBARA, CA 931012286

    Phone: (805) 699-6252

    Type: Location

  • 3889 LONG ST STE 200

    SAN LUIS OBISPO, CA 934017581

    Phone: (805) 724-4957

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $428.

Total Amount is formed as General ($428) + Research ($0) + Ownership ($0) = $428.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($145).

Total Amount

$428

General + Research + Ownership

Payments

9

Total payment records

General Amount

$428

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200824003478IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making3838$0
99284Emergency department visit with moderate level of medical decision making2020$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1111$0
View full utilization report →

Insurance plans in this area (ZIP 90602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850712530View full group profile
NameSpecialtyState
Nurse PractitionerCA
Physician AssistantWA
Physician AssistantCA
Physician AssistantCA
-CA
Physician AssistantSC
Physician AssistantAZ
Nurse PractitionerCA
Physician AssistantCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What identifier follows CRAIG FISHER (PA) across health systems?
The NPI 1114372174 uniquely identifies CRAIG FISHER (PA) in U.S. healthcare data.
Does the public listing show CRAIG FISHER (PA) as active?
CRAIG FISHER (PA)'s NPI record reflects an active status in NPPES.
What services align with CRAIG FISHER (PA)'s listing?
CRAIG FISHER (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to CRAIG FISHER (PA)?
CRAIG FISHER (PA) shows a connection to Whittier, California in registry-derived data.
Why is information missing for CRAIG FISHER (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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