CRYSTAL RENEE GILLESPIE (NPI# 1275995607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275995607 |
| Entity Type | Individual |
| Full Name | CRYSTAL RENEE GILLESPIE |
| Credential | PA-C |
| Practice Address |
27225 Camp Plenty Rd Ste 2 Canyon Country CA 91351-2654 |
| Mailing Address |
4863b Ebert Cir Fort Sill OK 73503-4578 |
| Practice Telephone | 6614241220 |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962819409 | Crystal Gillespie | Social Worker | 1100 W 6th Ave, Gary, IN 46402-1711 | 2014-07-16 |
| Street Address |
27225 CAMP PLENTY RD STE 2 |
| City | CANYON COUNTRY |
| State | CA |
| Zip Code | 91351-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679222 | Saint Lazarus Home Health Inc. | Home Health | 17722 Sierra Highway, Santa Clarita, CA 91351 | 2020-08-14 |
| 1558608398 | Bernadette Medina | Specialist/Technologist | 19040 Soledad Canyon Rd., # 210, Santa Clarita, CA 91351 | 2013-01-14 |
| 1164776068 | Fabricio Mundo | Interpreter | 19887 Northcliff Dr, Canyon Country, CA 91351 | 2012-10-31 |
| 1124384730 | Noosha Daha | Marriage & Family Therapist | 2714 Hidaway Ave, Santa Clarita, CA 91351 | 2012-04-09 |
| 1083906937 | Carla's Counseling,life Coaching, and Classes | Community/Behavioral Health | 19040 Soledad Canyon Road, Suite B, Santa Clarita, CA 91351 | 2011-05-11 |
| 1629289012 | Ronald Eugene Semelsberger | Dentist | 27552 Sierra Highway, Canyon Country, CA 91351 | 2007-05-25 |
| 1750898177 | Family Model Behavior Therapy, LLC | Behavioral Analyst | 18802 Mandan Street, #901, Canyon Country, CA 91351 | 2018-01-08 |
| 1780975755 | Westcoastdental | Clinic/Center | 15350 Nordhoff Street, Suite A, North Hills, CA 91351 | 2011-04-26 |
| 1346373784 | Anna Liberman Dds Inc | Health Maintenance Organization | 18507 Soledad Canyon Rd, Canyon Country, CA 91351 | 2007-03-14 |
| 1538214358 | Carolina Escaro Villate Mendoza | Dentist | 27225 Camp Plenty Rd, Suite 9, Canyon Country, CA 91351 | 2007-01-24 |
| Find all providers in zip 91351 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083259386 | Virgil Christopher Junio II | Physician Assistant | 19735 Collins Rd, Canyon Country, CA 91351-4824 | 2019-11-10 |
| 1811142201 | Elrico Fernandez | Physician Assistant | 19231 Soledad Canyon Rd, Canyon Country, CA 91351-3367 | 2008-11-26 |
| 1700445699 | Allison M Smith | Physician Assistant | 18520 Via Princessa, Canyon Country, CA 91387-8326 | 2019-06-13 |
| 1699122390 | Noreen Warner | Physician Assistant | 19042 Soledad Canyon Rd, Canyon Country, CA 91351-3362 | 2016-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407679 | Samantha Sidney Spinner | Physician Assistant | 1385 Shattuck Ave Apt 201, Berkeley, CA 94709-1468 | 2020-11-08 |
| 1134720972 | Alessandra Porfido | Physician Assistant | 733 Filbert St Apt 1, San Francisco, CA 94133-2767 | 2020-11-06 |
| 1992306872 | Kelsey Oberg | Physician Assistant | 1817 Oldfield Ct, El Cajon, CA 92019-4233 | 2020-11-05 |
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1164023347 | Wendy P Lewis | Physician Assistant | 10447 Highdale St, Bellflower, CA 90706-4122 | 2020-11-04 |
| 1245830181 | Lauren Bennett | Physician Assistant | 3360 Horizon St, Corona, CA 92881-0728 | 2020-10-29 |
| 1538769062 | Revital Ahl | Physician Assistant | 18141 Medley Dr, Encino, CA 91316-4447 | 2020-10-26 |
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1386243889 | Ilaitia Lecia Namatasere | Physician Assistant | 614 Sycamore Ln Apt 225, Davis, CA 95616-7901 | 2020-10-26 |
| 1083213706 | Courtney Kathryn Hopp | Physician Assistant | 4060 Fourth Ave Ste 209, San Diego, CA 92103-2120 | 2020-10-23 |
| Find all providers with the same taxonomy | ||||
| City | CANYON COUNTRY |
| Zip Code | 91351 |
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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.