CRYSTAL PATH WELLNESS NURSING CORP
NPI 1306790019
Nurse Practitioner - Psychiatric/Mental Health in Sacramento, CA

Q: What is Crystal Path Wellness Nursing Corp's NPI number?

The NPI number for Crystal Path Wellness Nursing Corp is 1306790019. It was assigned to this organization in the NPPES registry on February 21, 2026.

Q: What is Crystal Path Wellness Nursing Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since February 21, 2026

4010 TRUXEL RD STE 170, SACRAMENTO, CA 95834(813) 494-4476 Get Directions Write a Review

NPPES record last updated: February 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Crystal Path Wellness Nursing Corp NPPES

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

CRYSTAL PATH WELLNESS NURSING CORP (NPI 1306790019) is a healthcare organization registered as a psychiatric/mental health in Sacramento, California and active in the NPI registry since February 2026. The organization lists Lateefat Tiwalade Adele, Owner, as its authorized official.

NPPES Registry Identity

NPI1306790019

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameCRYSTAL PATH WELLNESS NURSING CORP

Location Address4010 TRUXEL RD STE 170Sacramento, CA 95834-3795

Mailing Address4010 Truxel Rd Ste 170Sacramento, CA 95834-3795 · (813) 494-4476

Phone(813) 494-4476

Organization SubpartNo

Authorized OfficialLateefat Tiwalade AdeleOwner · (813) 494-4476

Enumeration DateFebruary 21, 2026

NPPES CertifiedFebruary 21, 2026

✔ NPI 1306790019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

4010 TRUXEL RD STE 170, Sacramento, CA 95834

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

SERAPHIC WELLNESS CENTER, INCORPORATION

Nurse Practitioner (Psychiatric/Mental Health)

4010 TRUXEL RD STE 170
SACRAMENTO, CA 95834

Sacramento County (916) 272-9195

TINUKE OLALERE NP

Nurse Practitioner (Psychiatric/Mental Health)

4010 TRUXEL RD STE 170
SACRAMENTO, CA 95834

Sacramento County (916) 572-2466

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 Path Wellness Nursing Corp's NPI number?

The NPI number for Crystal Path Wellness Nursing Corp is 1306790019. It was assigned to this organization in the NPPES registry on February 21, 2026.

Where is Crystal Path Wellness Nursing Corp located?

Crystal Path Wellness Nursing Corp is located at 4010 Truxel Rd Ste 170, Sacramento, CA 95834. The listed phone number is (813) 494-4476.

What is Crystal Path Wellness Nursing Corp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Crystal Path Wellness Nursing Corp was last updated on February 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.