CHARYL LORRAINE CRAWFORD (NPI# 1255774923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255774923 |
| Entity Type | Individual |
| Full Name | CHARYL LORRAINE CRAWFORD |
| Credential | LVN |
| Practice Address |
3940 Home Ave San Diego CA 92105-5952 |
| Mailing Address |
120 Willowside Ter Alpine CA 91901-1600 |
| Practice Telephone | 6192628000 |
| Practice Fax Number | 6192667405 |
| Mailing Telephone | 6192628000 |
| Mailing Fax Number | 6192667405 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | VN162167 | CA | Nursing Service Providers |
| Street Address |
3940 HOME AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92105-5952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831235837 | San Diego Treatment Services | Community/Behavioral Health | 3940 Home Ave, San Diego, CA 92105-5952 | 2007-01-29 |
| 1992153829 | Lori Sutton | Counselor | 3940 Home Ave, San Diego, CA 92105-5952 | 2016-06-01 |
| 1588026611 | Kristal Cardenas-gachupin | Counselor | 3940 Home Ave, San Diego, CA 92105-5952 | 2016-03-28 |
| 1770944027 | Home Avenue Ctc | Clinic/Center | 3940 Home Ave, San Diego, CA 92105-5952 | 2016-03-15 |
| 1962876797 | Jenny Soria | Licensed Vocational Nurse | 3940 Home Ave, San Diego, CA 92105-5952 | 2015-11-17 |
| 1598144081 | William Loch | Counselor | 3940 Home Ave, San Diego, CA 92105-5952 | 2015-05-29 |
| 1295165934 | Marlene Franz | Licensed Vocational Nurse | 3940 Home Ave, San Diego, CA 92105-5952 | 2013-11-15 |
| 1477998136 | Juan Angel Graciano | Clinic/Center | 3940 Home Ave, San Diego, CA 92105-5952 | 2013-05-07 |
| 1285974360 | Lesslie Armstrong | Counselor | 3940 Home Ave, San Diego, CA 92105-5952 | 2013-02-26 |
| 1285986430 | Crc Home Avenue Clinic | Clinic/Center | 3940 Home Ave, San Diego, CA 92105-5952 | 2012-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934798 | Point Loma Nazarene University | Nurse Practitioner | Point Loma Nazarene University Health Promotion Center, 4101 University Avenue, San Diego, CA 92105 | 2019-10-23 |
| 1104478809 | Kristin Lynn Nichols | Counselor | 4823 El Cajon Blvd Suite #115, San Diego, CA 92105 | 2019-07-12 |
| 1205343076 | Momentum Learning | Counselor | 3720 El Cajon Blvd., Sd, CA 92105 | 2018-01-03 |
| 1306352695 | Nathan Hien Le, Dds. Inc | Dentist | 4170 Fairmount Ave., San Diego, CA 92105 | 2017-12-21 |
| 1073038071 | Aika Mary Erlandson | Student in an Organized Health Care Education/Training Program | 5296 University Ave. Suite F-2, San Diego, CA 92105 | 2017-08-10 |
| 1457872178 | Ride-in Transport LLC | Non-emergency Medical Transport (VAN) | 4061 Fairmount Ave, San Diego, CA 92105 | 2017-07-03 |
| 1598205346 | Ahmed Mooge | Ambulance | 4061 Fairmout Ave, San Diego, CA 92105 | 2017-02-27 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1730634098 | Med Specialty Sai Inc. | Pharmacy | 4153 University Avenue, Suite B, San Diego, CA 92105 | 2016-08-16 |
| 1568857464 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 | 2015-03-30 |
| Find all providers in zip 92105 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497139836 | Leslie Reynolds | Licensed Practical Nurse | 4077 Menlo Ave Apt 4, San Diego, CA 92105-1945 | 2015-07-15 |
| 1841681681 | Marieta Simpao Tayag | Licensed Practical Nurse | 10319 Azuaga St Unit 301, San Diego, CA 92129-6021 | 2015-02-16 |
| 1174883649 | Tommy Hiers | Licensed Practical Nurse | 7682 Mocking Bird Dr, San Diego, CA 92123-3302 | 2012-05-18 |
| 1699079624 | Latasha Denise Gates | Licensed Practical Nurse | 1504 Paseo Aurora, San Diego, CA 92154-4858 | 2011-01-05 |
| 1740594993 | Nicoleta Victoria Radulescu | Licensed Practical Nurse | 15667 Avenida Alcachofa Apt D, San Diego, CA 92128-4449 | 2010-07-29 |
| 1063744571 | Charles Miller Johnson Jr. | Licensed Practical Nurse | 1020 Robinson Ave Apt 2, San Diego, CA 92103-4473 | 2010-02-08 |
| 1770753527 | Jaynee Lau Pura | Licensed Practical Nurse | 11440 W Bernardo Ct Ste 300, San Diego, CA 92127-1644 | 2008-03-07 |
| 1528681186 | Rosalinda Garcia | Licensed Practical Nurse | 892 27th St, San Diego, CA 92154-1444 | 2020-05-18 |
| 1770048878 | Valerie Galvez | Licensed Practical Nurse | 1963 4th Ave, San Diego, CA 92101-2394 | 2019-02-04 |
| 1588142210 | Liliani Kaitapu Stiffler | Licensed Practical Nurse | 7986 Dagget St, San Diego, CA 92111-2321 | 2018-08-03 |
| Find all providers in SAN DIEGO | ||||
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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.