MEDICARE: CRYSTAL PEREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1053807214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL PEREZ

Provider Business Mailing Address
First Line	:	1171 HOMESTEAD RD
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-5478
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1928 KINROSS WAY
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95122-2934
Country	:	US
Telephone Number	:	669-206-9644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2018
Last Update Date	:	07/10/2018

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1104615137 — HEALTHRIGHT 360
Practice Location Address:

1100 SUMMERDALE DR
SAN JOSE, CA
95132-2934

Practice Phone: 408-923-1960
Practice Fax:

1659361368 — DR. SUSAN SHARPE PH.D.
Practice Location Address:

2934 UPSHUR ST
SAN DIEGO, CA
92106-3030

Practice Phone: 619-795-1349
Practice Fax: 619-226-3207

1295788172 — A-1 HEARING AID CENTERS, INC.
Practice Location Address:

2934 LINCOLN AVE
SAN DIEGO, CA
92104-2909

Practice Phone: 619-283-8400
Practice Fax: 619-283-8400

1710082789 — DAVID KAUFER MD
Practice Location Address:

2934 INGELOW STREET
SAN DIEGO, CA
92106

Practice Phone: 760-480-4310
Practice Fax: 760-480-4350

1669546214 — ONLY INC
Practice Location Address:

2004 E HOUSTON ST
SAN ANTONIO, TX
78202-2934

Practice Phone: 210-224-7676
Practice Fax: 210-224-6131

Directions to “ CRYSTAL PEREZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.