Crystal Rose Miller

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1923 E Eckerman Ave
West Covina, CA 91791-1113

Phone

(626) 332-4600

NPI assigned

Apr 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• Heritage Group Homes Inc.

  • Community/Behavioral Health Agency
  • Covina, CA
  • NPI 1346804432

  Case Manager/Care Coordinator

  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Phillips Ranch, CA
  • NPI 1013469881

  Case Manager/Care Coordinator

  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • La Verne, CA
  • NPI 1285186981

  Case Manager/Care Coordinator

  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Covina, CA
  • NPI 1306398185

  Case Manager/Care Coordinator

  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Covina, CA
  • NPI 1396297172

  Case Manager/Care Coordinator

  NPD (past)
• Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Valinda, CA
  • NPI 1467904235

  Residential Treatment Facility, Emotionally Disturbed Children

  NPD (past)

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1174142178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 GENTRY ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672100",
            "telephone_number": "909-599-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 E ECKERMAN AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911113",
            "telephone_number": "626-332-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16226 Benwick St",
            "address_purpose": "LOCATION",
            "city": "LA Puente",
            "state": "CA",
            "postal_code": "917441301",
            "country_code": "US",
            "telephone_number": "626-917-0857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Country Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917664818",
            "country_code": "US",
            "telephone_number": "909-623-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917502148",
            "country_code": "US",
            "telephone_number": "909-392-1344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3340 E Whitebirch Dr",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917913039",
            "country_code": "US",
            "telephone_number": "626-430-6864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CRYSTAL",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Michelson, M.D.
• Enid Midley, ACSW
• Mikkon Adult Day Health Care Center
• Laura Dru Miles, LICENSED MARRIAGE AN
• Jenna Milhon
• Joe Michael Miller
• Olivia Min, D.M.D.
• Aaron Miranda
• Cesar Miranda
• Daniel Raul Miranda Jr., PTA

• All providers in West Covina, CA
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.