MRS. CRISTAL GRIJALVA NP
NPI 1184174765
Nurse Practitioner - Family in Selma, CA
About Mrs. Cristal Grijalva Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CRISTAL GRIJALVA NP (NPI 1184174765) is an individual family provider in Selma, California, licensed in California (95005157) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Cristal Grijalva Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Cristal Grijalva reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Selma, CA 93662
- Reassigned Medicare billing, California enrollment
- 2,323 clinicians in this Medicare group
Morro Bay, CA 93442
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93662 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Cristal Grijalva's NPI number?
The NPI number for Cristal Grijalva is 1184174765. It was assigned to this individual provider in the NPPES registry on October 7, 2016.
Where is Cristal Grijalva located?
Cristal Grijalva practices at 1141 Rose Ave, Selma, CA 93662. The listed phone number is (559) 856-6310.
What is Cristal Grijalva's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Cristal Grijalva enrolled in Medicare?
Yes. Cristal Grijalva is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Cristal Grijalva's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cristal Grijalva reassigns Medicare benefits to 2 organizations: Cep America - California (Selma, CA) and Central Coast Urgent Care Inc (Morro Bay, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cristal Grijalva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Cristal Grijalva was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Mrs. Cristal Grijalva, NP · NPI 1184174765
Family physician in Selma, California. Individual provider, active in the CMS NPPES registry since October 7, 2016.
## Identity
- **NPI:** 1184174765 (Entity type: Individual)
- **Enumerated:** October 7, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95005157 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1141 ROSE AVE, Selma, CA 93662-3241
- **Phone:** (559) 856-6310
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cep America - California (NPI 1356350680, Selma, CA); Central Coast Urgent Care Inc (NPI 1427372226, Morro Bay, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1184174765) · Data from the CMS NPPES public registry.