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KRYSTAL YVONNE JACKSON
NPI 1285394064
Rehabilitation Practitioner in Long Beach, CA

Active since December 21, 2021
5150 E PACIFIC COAST HWY STE 100, LONG BEACH, CA 90804(562) 490-7600 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Krystal Yvonne Jackson NPPES

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

KRYSTAL YVONNE JACKSON (NPI 1285394064) is an individual rehabilitation practitioner in Long Beach, California and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1285394064
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameKRYSTAL YVONNE JACKSON
Location Address5150 E PACIFIC COAST HWY STE 100Long Beach, CA 90804-3394
Mailing Address5150 E Pacific Coast Hwy Ste 100Long Beach, CA 90804-3394 · (562) 490-7600
Phone(562) 490-7600
Sole ProprietorNo
Enumeration DateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
✔ NPI 1285394064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

5150 E PACIFIC COAST HWY STE 100, Long Beach, CA 90804
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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.

DIANA CRUZ
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
MIRANDA SARAH STOWERS M.A.
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
LYNDSEY MASUYE CHEN
Social Worker (Clinical)
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
SARAH F MONSON
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
TIREA UFODIKE
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
BRIAN BERNARD PONCE
Rehabilitation Practitioner
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
ISELA GARCIA
Rehabilitation Practitioner
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
MS. LISA MARY PROBST LMFT 90976
Marriage & Family Therapist
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7638

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 Krystal Jackson's NPI number?

The NPI number for Krystal Jackson is 1285394064. It was assigned to this individual provider in the NPPES registry on December 21, 2021.

Where is Krystal Jackson located?

Krystal Jackson practices at 5150 E Pacific Coast Hwy Ste 100, Long Beach, CA 90804. The listed phone number is (562) 490-7600.

What is Krystal Jackson's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Krystal Jackson was last updated on December 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.