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CRYSTAL MARAVILLA
NPI 1508414871
Student in an Organized Health Care Education/Training Program in Fullerton, CA

Active since August 29, 2019
801 E CHAPMAN AVE STE 203, FULLERTON, CA 92831(714) 680-9000(714) 680-8223 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2021, Aug 29, 2019 (2 updates tracked since 2019).

About Crystal Maravilla NPPES

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

CRYSTAL MARAVILLA (NPI 1508414871) is an individual student in an organized health care education/training program in Fullerton, California and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1508414871
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCRYSTAL MARAVILLA
Location Address801 E CHAPMAN AVE STE 203Fullerton, CA 92831-3846
Mailing AddressPo Box 919Fullerton, CA 92836-0919 · (714) 680-9000 · Fax (714) 680-8223
Phone(714) 680-9000
Fax(714) 680-8223
Sole ProprietorNo
Enumeration DateAugust 29, 2019
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1508414871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 23-7110152 (CA)
801 E CHAPMAN AVE STE 203, Fullerton, CA 92831
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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.

MS. RAFAELA VARGAS
Student in an Organized Health Care Education/Training Program
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
STEPHANIE FERNANDEZ
Case Manager/Care Coordinator
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
YESENIA T VELAZQUEZ ACSW
Counselor (Mental Health)
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
ANDREA ALEXIA CARRERA
Social Worker (Clinical)
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
MRS. DIANA SANCHEZ-BECERRA
Student in an Organized Health Care Education/Training Program
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
GABRIELA A CASTRO
Community Health Worker
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County No phone listed
DINA ISLAS
Licensed Vocational Nurse
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000
JUVENAL CASTILLO
Counselor (Professional)
801 E CHAPMAN AVE STE 203
FULLERTON, CA 92831
Orange County (714) 680-9000

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 1508414871. It was assigned to this individual provider in the NPPES registry on August 29, 2019.

Where is Crystal Maravilla located?

Crystal Maravilla practices at 801 E Chapman Ave Ste 203, Fullerton, CA 92831. The listed phone number is (714) 680-9000.

What is Crystal Maravilla'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 Crystal Maravilla was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.