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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CRYSTAL ANN PHILLIPS SUDRC-1
NPI 1013876606
Clinic/Center - Multi-Specialty in El Cajon, CA

Active since January 19, 2026
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020(619) 440-4801 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Ann Phillips Sudrc-1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL ANN PHILLIPS SUDRC-1 (NPI 1013876606) is an individual multi-specialty provider in El Cajon, California, licensed in California (23113) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1013876606
Entity TypeIndividualFemale
Primary Taxonomy261QM1300X
Provider Legal NameCRYSTAL ANN PHILLIPSCredential: SUDRC-1
Location Address1400 N JOHNSON AVE STE 101El Cajon, CA 92020-1651
Mailing Address1400 N Johnson Ave Ste 101El Cajon, CA 92020-1651 · (619) 440-4801
Phone(619) 440-4801
Sole ProprietorNo
Enumeration DateJanuary 19, 2026
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1013876606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in CA · 23113
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License SUDRCI23113 (CA)
1400 N JOHNSON AVE STE 101, El Cajon, CA 92020
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER DIBELLA
Counselor (Addiction (Substance Use Disorder))
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020
San Diego County (619) 465-7303
MR. TREVOR PATRICK MAROSHEK
Counselor (Addiction (Substance Use Disorder))
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020
San Diego County (619) 691-8164
ADRIANNA CABALLERO AMFT 103139
Counselor (Mental Health)
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020
San Diego County (760) 792-1362
KARINA VELA
Counselor (Addiction (Substance Use Disorder))
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020
San Diego County (619) 442-0277
SARAH ANN HOLADAY
Marriage & Family Therapist
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020
San Diego County (619) 442-0277
WINDA IVETTE ORTIZ
Counselor (Addiction (Substance Use Disorder))
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020
San Diego County (619) 442-0277
DAVID PADILLA
Counselor (Addiction (Substance Use Disorder))
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020
San Diego County (619) 442-0277
BRIAN PETERSON REGISTERED NURSE
Registered Nurse (Addiction (Substance Use Disorder))
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020
San Diego County (619) 442-0277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Phillips's NPI number?

The NPI number for Crystal Phillips is 1013876606. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Where is Crystal Phillips located?

Crystal Phillips practices at 1400 N Johnson Ave Ste 101, El Cajon, CA 92020. The listed phone number is (619) 440-4801.

What is Crystal Phillips's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Crystal Phillips was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.