CRYSTAL VALENCIA (NPI# 1124583836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124583836 |
Entity Type | Individual |
Full Name | CRYSTAL VALENCIA |
Practice Address |
11600 Eldridge Ave Lake View Terrace CA 91342-6506 |
Practice Telephone | 8186863000 |
Mailing Telephone | 8186863000 |
Enumeration Date | 2019-02-06 |
Last Update Date | 2019-02-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245731710 | Crystal Ivone Valencia | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2018-02-21 |
1881012078 | Crystal Valencia | Counselor | 2035 E Ball Rd, Anaheim, CA 92806-5159 | 2014-04-03 |
Street Address |
11600 ELDRIDGE AVE |
City | LAKE VIEW TERRACE |
State | CA |
Zip Code | 91342-6506 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235283722 | Phoenix Houses of Los Angeles, Inc. | Substance Abuse Rehabilitation Facility | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2007-01-22 |
1093326787 | Stella Dorin | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-08-14 |
1235740226 | Elizabeth Catherine Wight | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-08-12 |
1881205870 | Julissa Nohemi Pelayo | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-08-12 |
1992322325 | Lizeth Elena Lomeli | Social Worker | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-07-01 |
1467075051 | Timothy Oh | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-05-19 |
1649892654 | Jennifer Miranda Kashou | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-05-13 |
1710509625 | Araceli L Pimentel | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-05-13 |
1790306785 | Julian Rocha | Student in an Organized Health Care Education/Training Program | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2020-04-30 |
1194367110 | Florencia Lucy Gonzalez | Counselor | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2019-10-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
Find all providers in zip 91342 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023554961 | Loren Ashley Messina | Counselor | 11609 Biltmore Ave, Lake View Terrace, CA 91342-6607 | 2017-01-17 |
1669029211 | Ernest Kwasi Nyann | Counselor | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2019-08-19 |
1174186852 | Steven Mark Levitt | Counselor | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2019-04-17 |
1932662558 | Trisha Marie Garcia | Counselor | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2019-04-10 |
1356804165 | Joey Q Ruvalcaba | Counselor | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2019-04-09 |
1003370073 | Michael Andrew Trujillo | Counselor | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2019-01-24 |
1134692999 | Claudia Buenrostro Robles | Counselor | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2019-01-04 |
1548732191 | Juan Antonio Jimenez | Counselor | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2018-12-20 |
1114499902 | Nathaniel Bush Jr. | Counselor | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2018-12-18 |
1912479791 | Jason Randle | Counselor | 11600 Eldridge Ave, Lake View Terrace, CA 91342-6506 | 2018-12-18 |
Find all providers in LAKE VIEW TERRACE |
City | LAKE VIEW TERRACE |
Zip Code | 91342 |
Please comment or provide details below to improve the information on CRYSTAL VALENCIA.
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.