Chrystal Joy Dizon Jurado

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95014349 Issued in CA

Practice address

19682 Hesperian Blvd Ste 101
Hayward, CA 94541-4752

Phone

(510) 783-0536

NPI assigned

Jun 30, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Chrystal Jurado Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: cjurado562212@hisp.ehr.sutterhealth.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1023635513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19682 HESPERIAN BLVD STE 101A",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19682 HESPERIAN BLVD STE 101",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414752",
            "telephone_number": "510-783-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURADO",
        "first_name": "CHRYSTAL JOY",
        "middle_name": "DIZON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95014349",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95014349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRYSTAL",
            "last_name": "JURADO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yvette Juarez
• Jessica Jubilado
• Elfriede Marie Jumper, PHARM D
• Loren Juntilla
• Joan M Jupina, DDS
• Ka Three Group Inc
• Charlene Kabambi
• Mohammed Abdul Kabeer, PHARMD
• Kevin Kachadourian, M.A, BCBA
• Sapna Kadakia

• Primary Care Nurse Practitioner in Hayward, CA
• Providers in Hayward, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.