Crystal Marie De Alba, M.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1149 N El Dorado St
Stockton, CA 95202-1305

Phone

(209) 468-2335

NPI assigned

Sep 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Crystal Marie Cervantes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1033491154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 LARKSPUR LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952071628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 N EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021305",
            "telephone_number": "209-468-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ALBA",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "CERVANTES",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Day and Night Drug Store Inc
• Janice Pearl Day
• Krystal Lorene Day
• Nohemi Guadalupe De Alba-Vega
• Alejandro De Alba
• Diego Armando De Alba
• Fernando Octavio De Alba
• Jennifer De Armit, MA, PPS
• Alejandra Laurel De Avellar
• Audrey De Castro

• Social Worker in Stockton, CA
• Providers in Stockton, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.