CRYSTAL T MITCHELL (NPI# 1043701808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043701808 |
| Entity Type | Individual |
| Full Name | CRYSTAL T MITCHELL |
| Practice Address |
3640 Sumner Ave Apt 104 Pomona CA 91767-1235 |
| Practice Telephone | 9094856431 |
| Mailing Telephone | 9094856431 |
| Enumeration Date | 2018-05-28 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3640 Sumner Ave Apt 104, Pomona, CA 917671235 | 9094856431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053875724 | Crystal Lynette Mitchell | Nurse Practitioner | 7272 State Route 945, Melber, KY 42069-8768 | 2019-01-28 |
| 1891942256 | Crystal Chanel Mitchell | Social Worker | 8720 Windsor Lake Blvd., 1116, Columbia, SC 29223 | 2008-08-27 |
| 1639694359 | Crystal Mitchell | Behavior Technician | 111 Mackenan Dr, Cary, NC 27511-7903 | 2017-08-03 |
| 1134522832 | Crystal Mitchell | Specialist | 7000 Austin Street, Suite 200, Forest Hills, NY 11375 | 2014-10-08 |
| 1073921037 | Crystal Olivia Mitchell | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4513 | 2014-07-23 |
| 1457661217 | Crystal Mitchell | Nurse Practitioner | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2010-10-14 |
| 1841377512 | Crystal Elisabeth Mitchell | Physician Assistant | 197 Pleasant St, Hinton, WV 25951-2540 | 2006-11-01 |
| Street Address |
3640 SUMNER AVE APT 104 |
| City | POMONA |
| State | CA |
| Zip Code | 91767-1235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205350295 | Angie Lorraine Gallego-arellano | Case Manager/Care Coordinator | 801 Corporate Center Drive, Suite 202, Pomona, CA 91768 | 2017-08-01 |
| 1053721019 | Brandi Smith | Case Manager/Care Coordinator | 1414 Val Vista St, Pomona, CA 91768-1339 | 2014-04-30 |
| 1093099848 | Christy Lee Steider | Case Manager/Care Coordinator | 2379 Wilkie Dr, Pomona, CA 91767-2238 | 2011-09-28 |
| 1699906230 | English Family Care Home, Inc | Case Manager/Care Coordinator | 984 Russell Pl, Pomona, CA 91767-3330 | 2009-07-30 |
| 1770608374 | Hope Marie Aguilera | Case Manager/Care Coordinator | 2360 Ann Arbor Ave, Pomona, CA 91766-6418 | 2007-03-20 |
| 1578687596 | Vikki Lauran Prochorchik | Case Manager/Care Coordinator | 780 W Mission Blvd, Pomona, CA 91766-1537 | 2007-03-16 |
| 1871194282 | Jessica Lynn Kauffman | Case Manager/Care Coordinator | 845 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-11-03 |
| 1730789835 | Lareen Gutierrez | Case Manager/Care Coordinator | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2020-10-28 |
| 1669086773 | Connie Marquez | Case Manager/Care Coordinator | 30 Country Wood Dr, Pomona, CA 91766-4818 | 2020-09-04 |
| 1326660044 | Estella J Michael | Case Manager/Care Coordinator | 30 Country Wood Dr, Pomona, CA 91766-4818 | 2020-05-15 |
| Find all providers in POMONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.