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CRYSTAL SAMANTHA LOPEZ-MALDONADO
NPI 1902525777
Rehabilitation Practitioner in Azusa, CA

Active since August 25, 2022
23701 E EAST FORK RD, AZUSA, CA 91702(626) 250-3300(626) 910-1380 Get Directions Write a Review

NPPES record last updated: April 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2023, Aug 25, 2022 (2 updates tracked since 2022).

About Crystal Samantha Lopez-maldonado NPPES

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

CRYSTAL SAMANTHA LOPEZ-MALDONADO (NPI 1902525777) is an individual rehabilitation practitioner in Azusa, California and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1902525777
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameCRYSTAL SAMANTHA LOPEZ-MALDONADO
Location Address23701 E EAST FORK RDAzusa, CA 91702-1477
Mailing Address23701 E East Fork RdAzusa, CA 91702-1477 · (626) 250-3300 · Fax (626) 910-1380
Phone(626) 250-3300
Fax(626) 910-1380
Sole ProprietorYes
Enumeration DateAugust 25, 2022
Last NPPES UpdateApril 19, 20252 updates tracked since enumeration
NPPES CertifiedApril 19, 2025
✔ NPI 1902525777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedBehavior TechnicianTaxonomy 106S00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
23701 E EAST FORK RD, Azusa, CA 91702
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Other Providers at the Same Location NPPES 20

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

KELLY LORENE HEIMDAHL
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3290
JUSTIN M CONTRERAS
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3291
MR. MARSHALL DEAN GODFREY
Counselor (Addiction (Substance Use Disorder))
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 910-1202
MS. CYNTHIA ORONA
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3291
SCOTT LEE SMITH CADC-I
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3300
BRENDA GISSELLE ALVAREZ
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3300
MS. LYNETTE KATHLEEN SINGLETON CADACII
Case Manager/Care Coordinator
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 250-3290
BROOKLYNN GARCIA RADT
Counselor (Addiction (Substance Use Disorder))
23701 E EAST FORK RD
AZUSA, CA 91702
Los Angeles County (626) 910-1202

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 Lopez-maldonado's NPI number?

The NPI number for Crystal Lopez-maldonado is 1902525777. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Where is Crystal Lopez-maldonado located?

Crystal Lopez-maldonado practices at 23701 E East Fork Rd, Azusa, CA 91702. The listed phone number is (626) 250-3300.

What is Crystal Lopez-maldonado's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Crystal Lopez-maldonado was last updated on April 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.