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CRYSTAL GUEVARA M.ED
NPI 1629556675
Student in an Organized Health Care Education/Training Program in San Rafael, CA

Active since August 01, 2018PECOS Enrolled
3230 KERNER BLVD STE 120, SAN RAFAEL, CA 94901(713) 553-4667 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2022, Aug 1, 2018 (2 updates tracked since 2018).

About Crystal Guevara M.ed NPPES

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

CRYSTAL GUEVARA M.ED (NPI 1629556675) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629556675
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCRYSTAL GUEVARACredential: M.ED
Location Address3230 KERNER BLVD STE 120San Rafael, CA 94901-4840
Mailing Address6009 Sheridan AveAustin, TX 78723-1020 · (713) 553-4667
Phone(713) 553-4667
Sole ProprietorYes
Enumeration DateAugust 1, 2018
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
✔ NPI 1629556675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3230 KERNER BLVD STE 120, San Rafael, CA 94901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Guevara M.ed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

JANINE NICOLE CARPENTER
Student in an Organized Health Care Education/Training Program
3230 KERNER BLVD STE 120
SAN RAFAEL, CA 94901
Marin County (415) 473-4274

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 Guevara's NPI number?

The NPI number for Crystal Guevara is 1629556675. It was assigned to this individual provider in the NPPES registry on August 1, 2018.

Where is Crystal Guevara located?

Crystal Guevara practices at 3230 Kerner Blvd Ste 120, San Rafael, CA 94901. The listed phone number is (713) 553-4667.

What is Crystal Guevara's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Crystal Guevara enrolled in Medicare?

Yes. Crystal Guevara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Guevara was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.