Crystal Bebo

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

10511 Mills Ave
Whittier, CA 90604-2440

Phone

(562) 944-7953

Fax

(562) 946-7494

NPI assigned

Mar 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern California Alcohol and Drug Programs, Inc.

  • Substance Abuse Rehabilitation Facility
  • Whittier, CA
  • NPI 1487198461
  NPD (past)
• Southern California Alcohol and Drug Programs, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Whittier, CA
  • NPI 1972688547
  NPD (past)

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1083074066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 MILLS AVE.",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90604",
            "telephone_number": "562-944-7953",
            "fax_number": "562-946-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 MILLS AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906042440",
            "telephone_number": "562-944-7953",
            "fax_number": "562-946-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBO",
        "first_name": "CRYSTAL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAADE",
            "identifier": "4446-R",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariel Balot Bautista, NP
• Mary-Jo Bautista, M.A.
• Liza Bayan, FNP
• Be a Light Enterprises LLC
• Be Heard Speech Therapy, Inc.
• Becerra Marriage Family and Child Therapy
• Alyssa Becerra, M.S
• Brian Arthur Beck, M.D.
• Gerald Edward Beckham, MD
• Behavioral Emotional & Academic Mentoring (Beam), LLC

• Addiction (Substance Use Disorder) Counselor in Whittier, CA
• Providers in Whittier, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.