CRYSTAL ROSE MILLER (NPI# 1174142178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174142178 |
| Entity Type | Individual |
| Full Name | CRYSTAL ROSE MILLER |
| Practice Address |
1923 E Eckerman Ave West Covina CA 91791-1113 |
| Mailing Address |
158 Gentry St Pomona CA 91767-2100 |
| Practice Telephone | 6263324600 |
| Mailing Telephone | 9095998222 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16226 Benwick St, La Puente, CA 917441301 | 6269170857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511460 | Crystal Starr Miller | Licensed Vocational Nurse | 184 Wampum Way, Seguin, TX 78155-6948 | 2020-09-02 |
| 1326698143 | Crystal Ann Miller | Respiratory Therapist, Registered | 77 Sw Riverview Pl, Gresham, OR 97080-6773 | 2019-09-13 |
| 1740846245 | Crystal A Miller | Registered Nurse | 1301 Liliha St Apt 109, Honolulu, HI 96817-4655 | 2019-05-10 |
| 1861979411 | Crystal Ann Miller | Technician/Technologist | 4525a Coles Mill Rd, Williamstown, NJ 08094-6247 | 2018-07-26 |
| 1467966234 | Crystal Rae Miller | Registered Nurse | 2396 S 300 E, Salt Lake City, UT 84115-2853 | 2017-11-30 |
| 1851837322 | Crystal Marie Miller | Occupational Therapist | 11492 Sunflower Road, Tell City, IN 47586 | 2017-01-09 |
| 1669868055 | Crystal Lynn Miller | Licensed Practical Nurse | 4851 Rich Rd, Morrisville, NY 13408 | 2015-04-13 |
| 1134493174 | Crystal Miller | Occupational Therapy Assistant | 456 Walnut Woods Dr, Greenwood, IN 46142-7547 | 2012-03-07 |
| 1639795768 | Crystal Miller | Social Worker | 1000 Jefferson St Ste 2c, Lynchburg, VA 24504-1724 | 2020-06-24 |
| 1265092175 | Crystal Miller | Behavioral Analyst | 3400 State St Ste G750, Salem, OR 97301-7012 | 2019-06-13 |
| Street Address |
1923 E ECKERMAN AVE |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91791-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710344577 | Astrid Topete | Marriage & Family Therapist | 1923 E Eckerman Ave, West Covina, CA 91791-1113 | 2016-01-25 |
| 1851911465 | Maria Serratos | Case Manager/Care Coordinator | 1923 E Eckerman Ave, West Covina, CA 91791-1113 | 2020-04-23 |
| 1134768526 | Jennifer Gonzalez | Case Manager/Care Coordinator | 1923 E Eckerman Ave, West Covina, CA 91791-1113 | 2020-01-02 |
| 1760027122 | Mirian Denis Tenorio | Rehabilitation Practitioner | 1923 E Eckerman Ave, West Covina, CA 91791-1113 | 2019-11-08 |
| 1306398185 | Heritage Group Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1923 E Eckerman Ave, West Covina, CA 91791-1113 | 2016-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938896 | Oriental Holistic Acupuncture Healthe Center Inc | Acupuncturist | 1414 S. Azusa Ave., Ste B-5, West Covina, CA 91791 | 2018-07-09 |
| 1780110312 | Yenmien Chen | Pharmacist | 5944 N Figueroa Ave, Los Angeles, CA 91791 | 2017-05-02 |
| 1568861227 | Gashparova Dental Practice Inc. | Dentist | 628 N. Azusa Ave., West Covina, CA 91791 | 2014-08-19 |
| 1740607837 | Melinda Rodriguez-mendoza | Nurse Practitioner | 1444 E Mcwood St, West Covina, CA 91791 | 2014-03-26 |
| 1710245782 | Mark Chevy S Ledesma | Dentist | 319 N Azusa Ave., W Covina, CA 91791 | 2012-04-27 |
| 1508184920 | Elba Cecilia Olivares | Chiropractor | 743 S. Hillward Ave, West Covina, CA 91791 | 2010-05-10 |
| 1861668832 | Susette C Thompson | Case Manager/Care Coordinator | 1829 Eworkman Ave #1, West Covina, CA 91791 | 2008-04-30 |
| 1376729483 | Accentcare Home Health of California, Inc. | Home Health | 2934 E Garvey Ave S Ste 210, West Covina, CA 91791 | 2008-01-18 |
| 1629195870 | Jung Jung Liu | Dentist | 628 North Azusa Ave, West Covina, CA 91791 | 2007-03-23 |
| 1548302748 | Mark Chevy S Ledesma Dds Inc | Dentist | 319 N Azusa Ave, W Covina, CA 91791 | 2007-02-13 |
| Find all providers in zip 91791 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457709925 | Michelle Villegas | Rehabilitation Practitioner | 1534 Belmont Ave, West Covina, CA 91790-4811 | 2016-05-25 |
| 1093140667 | Amanda Michelle Rapinchuk | Rehabilitation Practitioner | 1517 West Garvey Avenue, West Covina, CA 91790 | 2013-09-13 |
| 1316384282 | Ariel Camp | Rehabilitation Practitioner | 1518 W. Garvey Ave. North, West Covina, CA 91790 | 2013-05-31 |
| 1013298355 | Karen Raquel Landaverde | Rehabilitation Practitioner | 1509 W Cameron Ave Ste 230, West Covina, CA 91790-2725 | 2011-08-31 |
| 1003129164 | Nubia Gissey Barraza | Rehabilitation Practitioner | 2440 Arline St, West Covina, CA 91792-2164 | 2010-07-19 |
| 1518279306 | Cora Marie Gonzalez | Rehabilitation Practitioner | 1514 W Workman Ave, West Covina, CA 91790-2129 | 2010-07-08 |
| 1487982401 | Janica Quinones | Rehabilitation Practitioner | 1518 W Garvey Ave S, West Covina, CA 91790 | 2009-12-02 |
| 1740432426 | Natalie Venessa Guerrero | Rehabilitation Practitioner | 1821 W Durness St, West Covina, CA 91790-3302 | 2008-10-14 |
| 1811039597 | Homes of Hope | Rehabilitation Practitioner | 1107 S Glendora Ave, West Covina, CA 91790-4923 | 2007-02-12 |
| 1760027122 | Mirian Denis Tenorio | Rehabilitation Practitioner | 1923 E Eckerman Ave, West Covina, CA 91791-1113 | 2019-11-08 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91791 |
Please comment or provide details below to improve the information on CRYSTAL ROSE MILLER.
| 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.