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CRYSTAL LYNETTE MONTEAGUDO HERNANDEZ PA
NPI 1134959398
Physician Assistant - Medical in Greenfield, CA

Active since August 02, 2024PECOS Enrolled
467 EL CAMINO REAL, GREENFIELD, CA 93927(831) 674-0112(831) 674-4199 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, Aug 2, 2024 (2 updates tracked since 2024).

About Crystal Lynette Monteagudo Hernandez Pa NPPES

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

CRYSTAL LYNETTE MONTEAGUDO HERNANDEZ PA (NPI 1134959398) is an individual medical provider in Greenfield, California and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2024).

NPPES Registry Identity

NPI1134959398
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCRYSTAL LYNETTE MONTEAGUDO HERNANDEZCredential: PA
Location Address467 EL CAMINO REALGreenfield, CA 93927-4915
Mailing Address467 El Camino RealGreenfield, CA 93927-4915 · (831) 674-0112 · Fax (831) 674-4199
Phone(831) 674-0112
Fax(831) 674-4199
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2024
Enumeration DateAugust 2, 2024
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1134959398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
467 EL CAMINO REAL, Greenfield, CA 93927
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Lynette Monteagudo Hernandez Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294226379
PECOS Enrollment IDI20251117002538
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

MS. ALEJANDRA BERISTAIN-BARAJAS MD
Family Medicine
467 EL CAMINO REAL
GREENFIELD, CA 93927
Monterey County (831) 674-0112
GUILLERMO PEREZ P.A.
Physician Assistant
467 EL CAMINO REAL
GREENFIELD, CA 93927
Monterey County (831) 674-0112
SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
467 EL CAMINO REAL
GREENFIELD, CA 93927
Monterey County (831) 674-0112
SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
467 EL CAMINO REAL
GREENFIELD, CA 93927
Monterey County (831) 674-0112
SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
467 EL CAMINO REAL
GREENFIELD, CA 93927
Monterey County (831) 674-0112
SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
467 EL CAMINO REAL
GREENFIELD, CA 93927
Monterey County (831) 674-0112

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 Lynette Hernandez's NPI number?

The NPI number for Crystal Lynette Hernandez is 1134959398. It was assigned to this individual provider in the NPPES registry on August 2, 2024.

Where is Crystal Lynette Hernandez located?

Crystal Lynette Hernandez practices at 467 El Camino Real, Greenfield, CA 93927. The listed phone number is (831) 674-0112.

What is Crystal Lynette Hernandez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Crystal Lynette Hernandez enrolled in Medicare?

Yes. Crystal Lynette Hernandez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Lynette Hernandez was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.