CHRYSTAL JOY DIZON JURADO


Address: 19682 Hesperian Blvd Ste 101, Hayward, CA 94541-4752
Phone: 5107830536

CHRYSTAL JOY DIZON JURADO (NPI# 1023635513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023635513
Entity Type Individual
Full Name CHRYSTAL JOY DIZON JURADO
Other Name CHRYSTAL JURADO
Practice Address 19682 Hesperian Blvd Ste 101
Hayward
CA 94541-4752
Mailing Address 19682 Hesperian Blvd Ste 101a
Hayward
CA 94541-4752
Practice Telephone 5107830536
Enumeration Date 2020-06-30
Last Update Date 2020-08-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
95014349 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
95014349 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 19682 HESPERIAN BLVD STE 101
City HAYWARD
State CA
Zip Code 94541-4752

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518213347 Olga Kournoutas Dentist 19682 Hesperian Blvd Ste 101, Hayward, CA 94541-4752 2012-07-30
1669910428 Cindy Lee Nurse Practitioner 19682 Hesperian Blvd Ste 101, Hayward, CA 94541-4752 2017-02-01

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City HAYWARD
Zip Code 94541

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Dataset Information

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.

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