MR. CRAIG SHAW WESTBROOK (PA) – Physician Assistant, NPI 1649360678

MR. CRAIG SHAW WESTBROOK (PA) is a healthcare provider. based in Riverside, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA14465 (CA). The NPI Number for MR. CRAIG SHAW WESTBROOK (PA) is 1649360678

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. CRAIG SHAW WESTBROOK (PA)
NPI
1649360678
Phone
(951) 353-3790
Address
10800 MAGNOLIA AVE
Enumeration Date
13 October 2006
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9513532000
Graduation Year
1997 (29 years ago)
PAC ID
4789655176
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20040731000378
Address ID
CA925053043RI10800AVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MR. CRAIG SHAW WESTBROOK (PA)

  • Kaiser Permanente Riverside Medical Center, 10800, Magnolia Avenue, Riverside, Riverside County, California, 92505, United States

    KAISER PERMANENTE

    RIVERSIDE, CA 925053043

    Phone: (951) 353-3790

    Type: Location

  • 23741, Morning Glory Drive, Murrieta, Riverside County, California, 92562, United States

    MURRIETA, CA 925626051

    Phone: (951) 677-1401

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-07-31

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
I20040731000378IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92505)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

Is MR. CRAIG SHAW WESTBROOK (PA) listed with a National Provider Identifier?
Yes — MR. CRAIG SHAW WESTBROOK (PA) has NPI 1649360678 on file in the registry.
Is there an active status for MR. CRAIG SHAW WESTBROOK (PA)?
For scheduling context, MR. CRAIG SHAW WESTBROOK (PA) is shown as active in the registry.
What clinical focus is listed for MR. CRAIG SHAW WESTBROOK (PA)?
At a glance, MR. CRAIG SHAW WESTBROOK (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in California is MR. CRAIG SHAW WESTBROOK (PA) registered?
Use Riverside, California as the headline location for MR. CRAIG SHAW WESTBROOK (PA) here.
Does MR. CRAIG SHAW WESTBROOK (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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