MRS. CRYSTAL ELOSIE CHAVEZ (NPI# 1629418645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629418645 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL ELOSIE CHAVEZ |
| Practice Address |
369 W Compton Blvd Compton CA 90220-3110 |
| Mailing Address |
6057 Harding Ave South Gate CA 90280-8211 |
| Practice Telephone | 3106036555 |
| Practice Fax Number | 3106036565 |
| Mailing Telephone | 5628051423 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-07-05 |
| 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) |
RRW7005 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275928483 | Crystal Haydee Chavez | Family Medicine | 25723 Old Fredericksburg Rd, Boerne, TX 78015-6605 | 2015-04-03 |
| 1568850873 | Crystal Chavez | Rehabilitation Practitioner | 801 E Chapman Ave, 203, Fullerton, CA 92831-3839 | 2015-01-08 |
| Street Address |
369 W COMPTON BLVD |
| City | COMPTON |
| State | CA |
| Zip Code | 90220-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477632933 | Juanita L Cruz | Counselor | 369 W Compton Blvd, Compton, CA 90220-3110 | 2006-11-03 |
| 1730526609 | Stephanie Eileen Siordia | Counselor | 369 W Compton Blvd, Compton, CA 90220-3110 | 2013-05-31 |
| 1124372610 | Summer Rebecca Shields | Counselor | 369 W Compton Blvd, Compton, CA 90220-3110 | 2012-11-05 |
| 1811258916 | Sergio Antonio Pinales IIi | Counselor | 369 W Compton Blvd, Compton, CA 90220-3110 | 2012-06-05 |
| 1689947244 | Ernest Edward Caldwell | Counselor | 369 W Compton Blvd, Compton, CA 90220-3110 | 2012-02-13 |
| 1679850333 | Anel Garcia | Counselor | 369 W Compton Blvd, Compton, CA 90220-3110 | 2011-11-09 |
| 1003190943 | Richard Allen Thomas Jr. | Counselor | 369 W Compton Blvd, Compton, CA 90220-3110 | 2011-10-10 |
| 1871871541 | Andrew Eric Osher | Social Worker | 369 W Compton Blvd, Compton, CA 90220-3110 | 2011-07-29 |
| 1710271879 | Angela Lorraine Allen | Counselor | 369 W Compton Blvd, Compton, CA 90220-3110 | 2011-06-07 |
| 1699077958 | Melanie Denise Pearson | Counselor | 369 W Compton Blvd, Compton, CA 90220-3110 | 2010-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490925 | Vivian Carolina Cariat | Interpreter | 2499 S. Wilmington Ave., Compton, CA 90220 | 2017-11-09 |
| 1366971632 | Bradlisia Dixon | Marriage & Family Therapist | 15116 S. Gibson Ave., East Rancho Dominguez, CA 90220 | 2017-06-08 |
| 1154701373 | Hilario Enrique Ramirez | Counselor | 901 W Victoria St Ste Fng, Compton, CA 90220 | 2015-06-03 |
| 1366841306 | Jessica Lisbet Diaz | Counselor | 901 W Victoria St. Suite F & G, Compton, CA 90220 | 2014-08-15 |
| 1134466709 | Compassion Care Center | Clinic/Center | 601 S. Arcacia Ave., Compton, CA 90220 | 2013-01-15 |
| 1881931905 | Compassion Care Center, Inc. | Clinic/Center | 900 W. Grenleaf Ave., Compton, CA 90220 | 2013-01-09 |
| 1699033902 | Crittenton Children Andfamily Services | Community/Behavioral Health | 2939 East Pacific Commerce Drive, Rancho Dominguez, CA 90220 | 2012-04-25 |
| 1285909226 | Talatu Peters Oyefeso | Physician Assistant | 701 S. Sante Fe Ave. #5194, Compton, CA 90220 | 2012-03-08 |
| 1881966307 | Nancy Urena | Counselor | 901 W. Victoria St Suite F & G, Compton, CA 90220 | 2012-01-30 |
| 1831470756 | Vanessa Guadalupe Sanchez | Case Manager/Care Coordinator | 1303 West Walnut Park Way, Compton, CA 90220 | 2011-09-06 |
| Find all providers in zip 90220 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477063337 | Bamuma Raechelle Moore | Counselor | 720 S Aprilia Ave, Compton, CA 90220-3423 | 2017-10-05 |
| 1457899049 | Anthony C. Tucker | Counselor | 937 W Elm St, Compton, CA 90220-1815 | 2017-02-03 |
| 1013377951 | Marisela Banda | Counselor | 1315 E Compton Blvd, Compton, CA 90221-3401 | 2016-03-04 |
| 1104296490 | Annie Thomas | Counselor | 1523 E 127th St, Compton, CA 90222-1011 | 2015-09-30 |
| 1568804409 | Lori Williams | Counselor | 3209 N Alameda St Ste C, Compton, CA 90222-1454 | 2013-07-19 |
| 1023353422 | Herstine Johnson | Counselor | 1450 E Compton Blvd, # 115, Compton, CA 90221-3403 | 2012-12-11 |
| 1982996765 | Jamal A Bernard | Counselor | 369 W. Compton Blvd, Compton, CA 90220 | 2011-05-11 |
| 1669785358 | Markida Evette Gould | Counselor | 531 S Caswell Ave, Compton, CA 90220-3303 | 2010-07-22 |
| 1265752109 | Linda Jean Broadous-miles | Counselor | 1701 W 138th St, Compton, CA 90222-3123 | 2010-06-02 |
| 1730407099 | Natasha Ashley | Counselor | 15727 S. Atlantic Ave., A204, Compton, CA 90221 | 2010-05-12 |
| Find all providers in COMPTON | ||||
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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.