CRYSTAL TAO
NPI 1992446744
Student in an Organized Health Care Education/Training Program in Sunnyvale, CA

Active since April 05, 2022PECOS Enrolled
1080 MANGO AVE, SUNNYVALE, CA 94087(408) 963-3276 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Apr 5, 2022 (2 updates tracked since 2022).

About Crystal Tao NPPES

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

CRYSTAL TAO (NPI 1992446744) is an individual student in an organized health care education/training program in Sunnyvale, California and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2024).

NPPES Registry Identity

NPI1992446744
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCRYSTAL TAO
Location Address1080 MANGO AVESunnyvale, CA 94087-1728
Mailing Address1080 Mango AveSunnyvale, CA 94087-1728 · (408) 915-0021
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2024
Enumeration DateApril 5, 2022
Last NPPES UpdateApril 16, 20252 updates tracked since enumeration
NPPES CertifiedApril 16, 2025
NPI 1992446744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1080 MANGO AVE, Sunnyvale, CA 94087

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 Tao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002313335
PECOS Enrollment IDI20251010002492
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.

Other Providers at the Same Location NPPES 3

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

Social Worker (School)
1080 MANGO AVE
SUNNYVALE, CA 94087
Counselor (Mental Health)
1080 MANGO AVE
SUNNYVALE, CA 94087
Psychologist (School)
1080 MANGO AVE
SUNNYVALE, CA 94087

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 Tao's NPI number?

The NPI number for Crystal Tao is 1992446744. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Crystal Tao located?

Crystal Tao practices at 1080 Mango Ave, Sunnyvale, CA 94087. The listed phone number is (408) 963-3276.

What is Crystal Tao'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 Tao enrolled in Medicare?

Yes. Crystal Tao is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crystal Tao was last updated on April 16, 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.