CRYSTAL GUEVARA M.ED
NPI 1629556675
Student in an Organized Health Care Education/Training Program in San Rafael, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crystal Guevara M.ed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Crystal Guevara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN RAFAEL, CA 94901
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.
Which organization bills Medicare for Crystal Guevara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Guevara reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Crystal Guevara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Crystal Guevara, M.ED · NPI 1629556675
Student in an Organized Health Care Education/Training Program provider in San Rafael, California. Individual provider, active in the CMS NPPES registry since August 1, 2018.
## Identity
- **NPI:** 1629556675 (Entity type: Individual)
- **Enumerated:** August 1, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3230 KERNER BLVD STE 120, San Rafael, CA 94901-4840
- **Phone:** (713) 553-4667
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1629556675) · Data from the CMS NPPES public registry.