KRYSTLEBLUE BAUTISTA SANTOS
NPI 1578812194
Counselor - Addiction (Substance Use Disorder) in Commerce, CA

Active since August 29, 2012
5900 S EASTERN AVE STE 142, COMMERCE, CA 90040(323) 622-2020(323) 622-2021 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Krystleblue Bautista Santos NPPES

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

KRYSTLEBLUE BAUTISTA SANTOS (NPI 1578812194) is an individual addiction (substance use disorder) provider in Commerce, California and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1578812194
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKRYSTLEBLUE BAUTISTA SANTOS
Location Address5900 S EASTERN AVE STE 142Commerce, CA 90040-4024
Mailing Address11334 Duncan AveLynwood, CA 90262-3043 · (424) 256-4353
Fax(323) 622-2021
Sole ProprietorYes
Enumeration DateAugust 29, 2012
NPI 1578812194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
5900 S EASTERN AVE STE 142, Commerce, CA 90040

Other Providers at the Same Location NPPES 3

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

Counselor (Addiction (Substance Use Disorder))
5900 S EASTERN AVE STE 142
COMMERCE, CA 90040
Counselor (Addiction (Substance Use Disorder))
5900 S EASTERN AVE STE 142
COMMERCE, CA 90040
Counselor (Addiction (Substance Use Disorder))
5900 S EASTERN AVE STE 142
COMMERCE, CA 90040

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 Krystleblue Santos's NPI number?

The NPI number for Krystleblue Santos is 1578812194. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Krystleblue Santos located?

Krystleblue Santos practices at 5900 S Eastern Ave Ste 142, Commerce, CA 90040. The listed phone number is (323) 622-2020.

What is Krystleblue Santos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Krystleblue Santos was last updated on August 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.