Individual provider Active NPI

Crystal Nuno, PA-C

  • Physician Assistant
  • Visalia, CA
National Provider Identifier
1134905359
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
65899 Issued in CA
Practice address
401 E School Ave
Visalia, CA 93291-5032
Phone
(844) 767-0540
NPI assigned
Sep 4, 2023
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 65899 CA Primary

Addresses

Primary practice location

401 E School Ave
Visalia, CA 93291-5032

Mailing address

401 E School Ave
Visalia, CA 93291-5032

Other practice location 1

1159 N Cherry St
Tulare, CA 93274-2231
Phone (559) 684-7700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250422002789 CA Practitioner - Physician Assistant 2860917895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65899CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Feb 13, 2025 Accepting new patients
Family Healthcare Network CurrentSince Feb 13, 2025 Accepting new patients
Family Wellness Center & Walk-in Clinic Inc Past Accepting new patients

Locations

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

401 E School Ave
Visalia, CA 93291
Phone (559) 741-2670

501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1134905359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E SCHOOL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E SCHOOL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915032",
            "telephone_number": "844-767-0540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1159 N Cherry St",
            "address_purpose": "LOCATION",
            "city": "Tulare",
            "state": "CA",
            "postal_code": "932742231",
            "country_code": "US",
            "telephone_number": "559-684-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNO",
        "first_name": "CRYSTAL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "65899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.