CRYSTAL B RODRIGUEZ (NPI# 1518311372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518311372 |
| Entity Type | Individual |
| Full Name | CRYSTAL B RODRIGUEZ |
| Credential | RADT-1 |
| Practice Address |
4388 Katella Ave Los Alamitos CA 90720-3565 |
| Practice Telephone | 5625948844 |
| Practice Fax Number | 5622480477 |
| Mailing Telephone | 5625948844 |
| Mailing Fax Number | 5622480477 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| 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 |
|---|---|---|---|---|
| 1942784376 | Crystal Rodriguez | Dentist | 2550 W Union Hills Dr Ste 201, Phoenix, AZ 85027 | 2018-09-21 |
| 1568503159 | Crystal Dawn Rodriguez | Registered Nurse | 1325 Park Ave, Abilene, TX 79603-4945 | 2007-02-08 |
| 1073110011 | Crystal Rodriguez | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue, 202 Robinson Hall, Boston, MA 02115 | 2020-10-02 |
| 1578115507 | Crystal Rodriguez | Peer Specialist | 47915 Oasis St Ste C, Indio, CA 92201-6950 | 2019-07-10 |
| 1962997767 | Crystal Marie Rodriguez | Social Worker | 57 W Burnside Ave, Bronx, NY 10453-4038 | 2018-06-25 |
| 1265926182 | Crystal Rodriguez | Counselor | 8019 Compton Ave, Los Angeles, CA 90001 | 2018-06-15 |
| 1477047215 | Crystal Nicole Rodriguez | Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2018-06-15 |
| 1801301973 | Crystal Lynn Rodriguez | Speech-Language Pathologist | 7257 N Fresno St, Fresno, CA 93720-2950 | 2017-12-11 |
| 1851819353 | Crystal Shante Rodriguez | Massage Therapist | 105 N Pecos Rd, Henderson, NV 89074-7324 | 2017-09-05 |
| 1780136242 | Crystal Marie Rodriguez | Physician Assistant | 5050 Ne Hoyt St, Suite 240, Portland, OR 97213-2991 | 2016-11-01 |
| Street Address |
4388 KATELLA AVE |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-3565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477891802 | Kenneth Leon Patton | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2013-01-18 |
| 1013517440 | David Nima Dabiri | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-10-26 |
| 1104425628 | Cassandra Ann Holt | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-10-26 |
| 1710592340 | Tracie Lashane Ragland | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-09-10 |
| 1558975987 | Bo Qi | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-09-02 |
| 1083240188 | Kathleen Ann Kay | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-03-20 |
| 1457987190 | Lisa Markouizos | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-03-13 |
| 1174158075 | Viviana Rios Villalobos | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-03-11 |
| 1104451350 | Victoria Lynn Ford | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-03-09 |
| 1861027971 | Wendy Ann Vecchiolla | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477891802 | Kenneth Leon Patton | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2013-01-18 |
| 1013517440 | David Nima Dabiri | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-10-26 |
| 1710592340 | Tracie Lashane Ragland | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-09-10 |
| 1558975987 | Bo Qi | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-09-02 |
| 1083240188 | Kathleen Ann Kay | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-03-20 |
| 1457987190 | Lisa Markouizos | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-03-13 |
| 1174158075 | Viviana Rios Villalobos | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-03-11 |
| 1104451350 | Victoria Lynn Ford | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-03-09 |
| 1861027971 | Wendy Ann Vecchiolla | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-03-09 |
| 1578198800 | Jay Paul Espinoza | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720-3565 | 2020-03-06 |
| Find all providers in LOS ALAMITOS | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
Please comment or provide details below to improve the information on CRYSTAL B RODRIGUEZ.
| 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.