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JOSEPHINE VILLANUEVA CRISOSTOMO
NPI 1417410648
Nurse Practitioner - Family in South Pasadena, CA

Active since April 14, 2019
726 1/2 BRENT AVE, SOUTH PASADENA, CA 91030(626) 864-6871 Get Directions Write a Review

NPPES record last updated: April 14, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Josephine Villanueva Crisostomo NPPES

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

JOSEPHINE VILLANUEVA CRISOSTOMO (NPI 1417410648) is an individual family provider in South Pasadena, California, licensed in California (756560) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1417410648
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOSEPHINE VILLANUEVA CRISOSTOMO
Location Address726 1/2 BRENT AVESouth Pasadena, CA 91030-5917
Mailing Address726 1/2 Brent AveSouth Pasadena, CA 91030-5917 · (626) 864-6871
Phone(626) 864-6871
Sole ProprietorNo
Enumeration DateApril 14, 2019
✔ NPI 1417410648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 756560
726 1/2 BRENT AVE, South Pasadena, CA 91030
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Other Identifiers 1

Other756560CA · California Board Of Registered Nursing

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 Josephine Crisostomo's NPI number?

The NPI number for Josephine Crisostomo is 1417410648. It was assigned to this individual provider in the NPPES registry on April 14, 2019.

Where is Josephine Crisostomo located?

Josephine Crisostomo practices at 726 1/2 Brent Ave, South Pasadena, CA 91030. The listed phone number is (626) 864-6871.

What is Josephine Crisostomo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Josephine Crisostomo was last updated on April 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.