CRYSTAL MARIE MAKASARASHVILI
NPI 1831937895
Nurse Practitioner - Pediatrics in San Jose, CA

Q: What is Crystal Makasarashvili's NPI number?

The NPI number for Crystal Makasarashvili is 1831937895. It was assigned to this individual provider in the NPPES registry on July 16, 2024. The provider is also known as Crystal Marie Garcia.

Q: What is Crystal Makasarashvili's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since July 16, 2024PECOS Enrolled

6840 VIA DEL ORO STE 210, SAN JOSE, CA 95119(408) 284-2280 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2026, Feb 25, 2025, Jul 16, 2024 (3 updates tracked since 2024).

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About Crystal Marie Makasarashvili NPPES

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

CRYSTAL MARIE MAKASARASHVILI (NPI 1831937895) is an individual pediatrics provider in San Jose, California, licensed in California (95030716) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831937895

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameCRYSTAL MARIE MAKASARASHVILI

Location Address6840 VIA DEL ORO STE 210San Jose, CA 95119-1372

Mailing Address450 Wainwright AveSan Jose, CA 95128-2163

Phone(408) 284-2280

Sole ProprietorYes

Enumeration DateJuly 16, 2024

Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2026

✔ NPI 1831937895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in CA · 95030716

6840 VIA DEL ORO STE 210, San Jose, CA 95119

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Other Names 1

Former Name (1)Crystal Marie Garcia

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 Marie Makasarashvili 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 8

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

JESSICA LAWRENCE

Social Worker (Clinical)