CRYSTAL CASTRO (NPI# 1336377696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336377696 |
| Entity Type | Individual |
| Full Name | CRYSTAL CASTRO |
| Practice Address |
1111 N El Dorado St Stockton CA 95202-1305 |
| Practice Telephone | 2099380228 |
| Practice Fax Number | 2099380281 |
| Mailing Telephone | 2099380228 |
| Mailing Fax Number | 2099380281 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235590092 | Crystal Castro | Behavioral Analyst | 81 Bowdoin St, Apt C-110, Winthrop, ME 04364-1238 | 2016-03-08 |
| 1275165243 | Crystal Castro | Case Manager/Care Coordinator | 1461 E Cooley Dr Ste 100, Colton, CA 92324-3921 | 2020-02-07 |
| 1396396867 | Crystal Emilyn Castro | Case Manager/Care Coordinator | 15305 Rayen St, North Hills, CA 91343-5117 | 2019-09-25 |
| 1285910851 | Crystal Marie Castro | Nurse Practitioner | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2011-10-27 |
| Street Address |
1111 N EL DORADO ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95202-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275695033 | Julian Perez II | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2006-12-15 |
| 1770122384 | Lawrence Von Lo | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2019-12-30 |
| 1083108328 | Savannah Jean Holman | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2018-06-20 |
| 1093203911 | Denise Marie Ahern | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2018-04-26 |
| 1942707740 | Tommy Ross | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2018-04-09 |
| 1164926622 | Eileen Chatham | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2018-03-20 |
| 1649782954 | Ernest Donell Williamson Jr. | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2017-10-26 |
| 1063946002 | Tyda Viveros | Licensed Psychiatric Technician | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2017-04-17 |
| 1417493339 | Trisha Williams | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2017-01-17 |
| 1891146015 | Savin Kourm | Counselor | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2016-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336774678 | Lecletus Griffin Jr. | Counselor | 1212 N. Califronia Street, Stockton, CA 95202 | 2020-03-06 |
| 1861035586 | Andrea Mn Perkins | Social Worker | Sjc Bhs Bacop, 1149 El Dorado Street, Stockton, CA 95202 | 2019-10-25 |
| 1932664620 | San Joaquin County Behavioral Health Services | Community/Behavioral Health | 1212 N. Califorian St, Stockton, CA 95202 | 2019-02-06 |
| 1730655895 | Jenaiah La'neise Sauceda | Social Worker | 343 E Main St Ste 918, Stockton, CA 95202 | 2018-10-16 |
| 1235631722 | Parker Yang | Counselor | 1111 N. El Dorado St, Stockton, CA 95202 | 2018-03-01 |
| 1912406976 | Janet Mendoza | Social Worker | 6 South Eldorado Street, Stockton, CA 95202 | 2018-02-06 |
| 1487162087 | Linda Soun | Counselor | 1111 N. El Dorado Street, Stockton, CA 95202 | 2018-01-17 |
| 1124545355 | Suleyma Velesquez | Counselor | 445 N. San Joaquin St., Stockton, CA 95202 | 2017-08-28 |
| 1821513946 | Savoeun Phal | Counselor | 1212 N California St Ste A214, Stockton, CA 95202 | 2017-08-09 |
| 1861921272 | Mandeep K Minhas | Registered Nurse | 1212 California St, Stockton, CA 95202 | 2017-06-08 |
| Find all providers in zip 95202 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1083223317 | Simone A Stevens | Student in an Organized Health Care Education/Training Program | 2041 Grey Stone Dr, Stockton, CA 95206-4652 | 2020-07-22 |
| 1497381453 | Carrie Elaine Guidry | Student in an Organized Health Care Education/Training Program | 4415 N Pershing Ave Apt 4, Stockton, CA 95207-6955 | 2020-03-20 |
| 1740820786 | Brandon Jay Baccam | Student in an Organized Health Care Education/Training Program | 3302 Rutherford Dr, Stockton, CA 95212-3425 | 2020-01-07 |
| 1144886375 | Linda Voeuth Kong | Student in an Organized Health Care Education/Training Program | 3830 Alvarado Ave Apt 225, Stockton, CA 95204-2324 | 2019-05-13 |
| 1518439173 | Heidi Lee | Student in an Organized Health Care Education/Training Program | 3591 Quail Lakes Dr Apt 33, Stockton, CA 95207-5253 | 2018-12-20 |
| 1396220331 | Evangelina Dori Olson | Student in an Organized Health Care Education/Training Program | 1803 W March Ln Ste C&d, Stockton, CA 95207-6414 | 2018-09-25 |
| 1548741176 | Diep Phan | Student in an Organized Health Care Education/Training Program | 7720 Lorraine Ave Ste 102, Stockton, CA 95210-4203 | 2018-08-22 |
| 1457885279 | Angud Mehdi | Student in an Organized Health Care Education/Training Program | 6351 Saint Andrews Dr, Stockton, CA 95219-1861 | 2017-04-18 |
| 1477929453 | Manjot Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 5405 N Pershing Ave Ste C1, Stockton, CA 95207-5451 | 2015-08-13 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on CRYSTAL CASTRO.
| 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.