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MS. CRYSTAL LISA RENE DE COTRET MPAP, PA-C
NPI 1780982819
Physician Assistant - Surgical in Long Beach, CA

Active since March 15, 2011PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
3828 SCHAUFELE AVE STE 340, LONG BEACH, CA 90808(657) 241-9052(714) 665-4663 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2022, Oct 11, 2021 (2 updates tracked since 2021).

About Ms. Crystal Lisa Rene De Cotret Mpap, Pa-c NPPES

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

MS. CRYSTAL LISA RENE DE COTRET MPAP, PA-C (NPI 1780982819) is an individual surgical provider in Long Beach, California, licensed in California (PA21595) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2011).

NPPES Registry Identity

NPI1780982819
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. CRYSTAL LISA RENE DE COTRETCredential: MPAP, PA-C
Location Address3828 SCHAUFELE AVE STE 340Long Beach, CA 90808-1793
Mailing Address3828 Schaufele Ave Ste 340Long Beach, CA 90808-1793 · (657) 241-9052 · Fax (714) 665-4663
Phone(657) 241-9052
Fax(714) 665-4663
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2011
Enumeration DateMarch 15, 2011
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
✔ NPI 1780982819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA21595
3828 SCHAUFELE AVE STE 340, Long Beach, CA 90808
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Crystal Lisa Rene De Cotret Mpap, Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476724840
PECOS Enrollment IDI20110914000703
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

Other Providers at the Same Location NPPES 5

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

DR. FARIBA GHARAI M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3828 SCHAUFELE AVE STE 340
LONG BEACH, CA 90808
Los Angeles County (657) 241-9051
DR. ROBERT LUTHER SHUMAN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3828 SCHAUFELE AVE STE 340
LONG BEACH, CA 90808
Los Angeles County (657) 241-9052
ALI KHOYNEZHAD MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3828 SCHAUFELE AVE STE 340
LONG BEACH, CA 90808
Los Angeles County (562) 427-5388
MARC P SAKWA MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3828 SCHAUFELE AVE STE 340
LONG BEACH, CA 90808
Los Angeles County (657) 241-9052
MR. GABRIEL ALEXANDER SALAZAR
Physician Assistant
3828 SCHAUFELE AVE STE 340
LONG BEACH, CA 90808
Los Angeles County (657) 241-9051

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 Rene De Cotret's NPI number?

The NPI number for Crystal Rene De Cotret is 1780982819. It was assigned to this individual provider in the NPPES registry on March 15, 2011.

Where is Crystal Rene De Cotret located?

Crystal Rene De Cotret practices at 3828 Schaufele Ave Ste 340, Long Beach, CA 90808. The listed phone number is (657) 241-9052.

What is Crystal Rene De Cotret's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Crystal Rene De Cotret enrolled in Medicare?

Yes. Crystal Rene De Cotret is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Crystal Rene De Cotret was last updated on August 10, 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.