LAURENCE NIKKO CRISOSTOMO NP
NPI 1760979637
Nurse Practitioner - Family in Elk Grove, CA

Q: What is Laurence Crisostomo's NPI number?

The NPI number for Laurence Crisostomo is 1760979637. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Q: What is Laurence Crisostomo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 17, 2018

6617 TRONZANO WAY, ELK GROVE, CA 95757(916) 627-6663 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Laurence Nikko Crisostomo Np NPPES

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

LAURENCE NIKKO CRISOSTOMO NP (NPI 1760979637) is an individual family provider in Elk Grove, California, licensed in California (NP95005664) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1760979637

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameLAURENCE NIKKO CRISOSTOMOCredential: NP

Location Address6617 TRONZANO WAYElk Grove, CA 95757-3057

Mailing Address89 Lincoln Blvd Ste 100Lincoln, CA 95648-8096 · (916) 543-1593 · Fax (877) 466-7829

Phone(916) 627-6663

Sole ProprietorYes

Enumeration DateApril 17, 2018

✔ NPI 1760979637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95005664

6617 TRONZANO WAY, Elk Grove, CA 95757

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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 Laurence Crisostomo's NPI number?

The NPI number for Laurence Crisostomo is 1760979637. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Laurence Crisostomo located?

Laurence Crisostomo practices at 6617 Tronzano Way, Elk Grove, CA 95757. The listed phone number is (916) 627-6663.

What is Laurence Crisostomo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Laurence Crisostomo was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.