Healthcare Provider Details

I. General information

NPI: 1174221279
Provider Name (Legal Business Name): ELAINE CRAMER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2023
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CONGRESS ST STE 200
PASADENA CA
91105-3023
US

IV. Provider business mailing address

4140 W 190TH ST LOS ANGLES
TORRANCE CA
90504-5513
US

V. Phone/Fax

Practice location:
  • Phone: 424-314-0190
  • Fax: 424-314-0193
Mailing address:
  • Phone: 424-314-0190
  • Fax: 424-314-0193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95283249
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95024346
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: