Active NPI
Crystal Parras Frausto, LCSW
- Clinical Social Worker
- Los Banos, CA
National Provider Identifier
1174876270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW86177
- Practice address
- 821 Texas Ave
Los Banos, CA 93635-3453 - Phone
- (209) 826-1045
- Fax
- (209) 826-0952
- NPI assigned
- Oct 26, 2012
- Last updated
- Feb 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 67577 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW86177 | CA | Primary |
Addresses
Primary practice location
821 Texas Ave
Los Banos, CA 93635-3453
Mailing address
1910 Customer Care Way
Atwater, CA 95301-5167
Phone (209) 384-6488
Other practice location 1
9015 Murray Ave
suite 100
Gilroy, CA 95020-3617
Phone (408) 665-4908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW86177 | CA | MD | Clinical Social Worker |
| 67577 | CA | MD | Pharmacist |
| 86177 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1174876270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 CUSTOMER CARE WAY",
"city": "ATWATER",
"state": "CA",
"postal_code": "953015167",
"telephone_number": "209-384-6488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 TEXAS AVE",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936353453",
"telephone_number": "209-826-1045",
"fax_number": "209-826-0952"
}
],
"practiceLocations": [
{
"address_1": "9015 Murray Ave",
"address_2": "suite 100",
"address_purpose": "LOCATION",
"city": "Gilroy",
"state": "CA",
"postal_code": "950203617",
"country_code": "US",
"telephone_number": "408-665-4908",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRAUSTO",
"first_name": "CRYSTAL",
"middle_name": "PARRAS",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-26",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "67577",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW86177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.