1. Home
  2. Directory
  3. California
  4. San Carlos
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KRYSTAL DAWN BROCK
NPI 1295186617
Student in an Organized Health Care Education/Training Program in San Carlos, CA

Active since June 27, 2016
335 QUARRY RD, SAN CARLOS, CA 94070(650) 591-3636 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Krystal Dawn Brock NPPES

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

KRYSTAL DAWN BROCK (NPI 1295186617) is an individual student in an organized health care education/training program in San Carlos, California and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1295186617
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRYSTAL DAWN BROCK
Location Address335 QUARRY RDSan Carlos, CA 94070-6217
Mailing Address335 Quarry RdSan Carlos, CA 94070-6217 · (650) 591-3636
Phone(650) 591-3636
Sole ProprietorNo
Enumeration DateJune 27, 2016
Last NPPES UpdateJuly 28, 2016
✔ NPI 1295186617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
335 QUARRY RD, San Carlos, CA 94070
Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

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

MS. JENIFER ANN MOSCONE MANZANEDO LMFT/LPCC TRAINEE
Counselor (Addiction (Substance Use Disorder))
335 QUARRY RD
SAN CARLOS, CA 94070
San Mateo County (650) 591-3636
DANIELLA NAVARRETE
Marriage & Family Therapist
335 QUARRY RD
SAN CARLOS, CA 94070
San Mateo County (650) 591-3636
MR. SAM H TELLEZ CAADE
Counselor (Addiction (Substance Use Disorder))
335 QUARRY RD
SAN CARLOS, CA 94070
San Mateo County (650) 595-8165
VIVIAN RUEY LIN MA
Counselor (Mental Health)
335 QUARRY RD
SAN CARLOS, CA 94070
San Mateo County (650) 591-3636
AUBREY HOPE BRISBANE
Counselor (Addiction (Substance Use Disorder))
335 QUARRY RD
SAN CARLOS, CA 94070
San Mateo County (650) 591-3636
BRYNA NICOLE COOPER
Counselor (Mental Health)
335 QUARRY RD
SAN CARLOS, CA 94070
San Mateo County (650) 591-9623
MS. KELLY ANN CASSON CATC
Counselor (Addiction (Substance Use Disorder))
335 QUARRY RD
SAN CARLOS, CA 94070
San Mateo County (650) 595-8165
VANESSA KALINE BERESFORD
Marriage & Family Therapist
335 QUARRY RD
SAN CARLOS, CA 94070
San Mateo County (650) 591-3636

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 Brock's NPI number?

The NPI number for Krystal Brock is 1295186617. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Krystal Brock located?

Krystal Brock practices at 335 Quarry Rd, San Carlos, CA 94070. The listed phone number is (650) 591-3636.

What is Krystal Brock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Krystal Brock was last updated on July 28, 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.