MS. KRYSTAL DESIREE DIAZ (NPI# 1245664093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245664093 |
| Entity Type | Individual |
| Full Name | MS. KRYSTAL DESIREE DIAZ |
| Practice Address |
36 S Kinneloa Ave Ste 100 Pasadena CA 91107-3853 |
| Mailing Address |
4617 Yellowstone St Los Angeles CA 90032-3746 |
| Practice Telephone | 3238443033 |
| Mailing Telephone | 3233824856 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ASW63826 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851840193 | Krystal Ann Diaz | Nurse Practitioner | 135 San Lorenzo Ave Ste 700, Coral Gables, FL 33146-1876 | 2016-09-28 |
| Street Address |
36 S KINNELOA AVE STE 100 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871142737 | Katherine Jo Jorgenson | Counselor | 36 S Kinneloa Ave Ste 100, Pasadena, CA 91107-3853 | 2019-09-04 |
| 1669989125 | Jessica Vanessa Lopez | Licensed Vocational Nurse | 36 S Kinneloa Ave Ste 100, Pasadena, CA 91107-3853 | 2018-01-05 |
| 1427563519 | Sarita Emily Whitcher | Counselor | 36 S Kinneloa Ave Ste 100, Pasadena, CA 91107-3853 | 2017-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079299 | Jessica Jeffers | Counselor | 649 209th St, Pasadena, MD 21122-1427 | 2020-10-06 |
| 1407453350 | Jessie Ann Crabtree | Counselor | 8021 Gov Ritchie Hwy, Pasadena, MD 21122-1047 | 2020-10-05 |
| 1235745118 | Richard S Richardson | Counselor | 146 Harkness Ave, Pasadena, CA 91106-2007 | 2020-09-16 |
| 1467067363 | Kimberley Clayton Blaine | Counselor | 1443 E Washington Blvd Ste 185, Pasadena, CA 91104-2650 | 2020-09-09 |
| 1679185409 | Rodriguez Counseling | Counselor | 2106 Buchanan St, Pasadena, TX 77502-3927 | 2020-08-22 |
| 1992317796 | Carole M Lewis | Counselor | 515 Bonita Ave, Pasadena, CA 91107-5142 | 2020-08-21 |
| 1124637129 | Madeline Myers | Counselor | 3100f Mountain Rd., Pasadena, MD 21122-2018 | 2020-07-26 |
| 1366003279 | John Sovec | Counselor | 16 N Marengo Ave Ste 318, Pasadena, CA 91101-1971 | 2019-06-23 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1215404868 | Jesus Montelongo-cortez | Counselor | 3315 Burke Rd Ste 105, Pasadena, TX 77504-1873 | 2018-10-31 |
| Find all providers in PASADENA | ||||
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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.