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CRYSTAL MARAVILLA
NPI 1417724923
Adult Companion in Modesto, CA

Active since December 05, 2023
121 DOWNEY AVE, MODESTO, CA 95354(209) 341-1824 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, Dec 5, 2023 (2 updates tracked since 2023).

About Crystal Maravilla NPPES

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

CRYSTAL MARAVILLA (NPI 1417724923) is an individual adult companion provider in Modesto, California and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1417724923
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameCRYSTAL MARAVILLA
Location Address121 DOWNEY AVEModesto, CA 95354-1208
Mailing Address121 Downey AveModesto, CA 95354-1208
Phone(209) 341-1824
Sole ProprietorNo
Enumeration DateDecember 5, 2023
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1417724923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
121 DOWNEY AVE, Modesto, CA 95354
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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.

PAIGE A COLE
Marriage & Family Therapist
121 DOWNEY AVE
MODESTO, CA 95354
Stanislaus County (559) 577-6995
CRYSTAL A GONZALEZ
Counselor (Professional)
121 DOWNEY AVE
MODESTO, CA 95354
Stanislaus County (209) 341-1824
JOANNA TORREZ
Adult Companion
121 DOWNEY AVE
MODESTO, CA 95354
Stanislaus County (209) 341-1824
ATHENA HERRERA
Social Worker (Clinical)
121 DOWNEY AVE
MODESTO, CA 95354
Stanislaus County (209) 341-1824
FRANCISCA ROSARIO CASTRO
Student in an Organized Health Care Education/Training Program
121 DOWNEY AVE
MODESTO, CA 95354
Stanislaus County (209) 341-1824
COUNTY OF STANISLAUS
Community/Behavioral Health
121 DOWNEY AVE
MODESTO, CA 95354
Stanislaus County (209) 341-1824
ALYXCIA ROSA-KELLY
Student in an Organized Health Care Education/Training Program
121 DOWNEY AVE
MODESTO, CA 95354
Stanislaus County (209) 341-1824
MR. HECTOR CALDERON JR.
Marriage & Family Therapist
121 DOWNEY AVE
MODESTO, CA 95354
Stanislaus County (209) 341-1824

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 Maravilla's NPI number?

The NPI number for Crystal Maravilla is 1417724923. It was assigned to this individual provider in the NPPES registry on December 5, 2023.

Where is Crystal Maravilla located?

Crystal Maravilla practices at 121 Downey Ave, Modesto, CA 95354. The listed phone number is (209) 341-1824.

What is Crystal Maravilla's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Crystal Maravilla was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.