Alan Krystal

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G74558 Issued in CA

Practice address

1582 W San Marcos Blvd Ste 100
San Marcos, CA 92078-4081

Phone

(760) 591-9975

NPI assigned

Feb 9, 2007

Last updated

Jul 20, 2011By the provider in NPPES

Sex

Male

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 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Geriatric Medicine, Preventive Medicine

Education

Tufts University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspire Healthcare Services Home health agency, Upland, CA, CCN 059761
• Silver Tree Home Health Inc Home health agency, San Diego, CA, CCN 559731

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• True Care Mobile Inc. a Medical Corp

  • General Practice Physician
  • Carlsbad, CA
  • NPI 1396145439
  Medicare reassignment Authorized official
• Martin C Fineman MD Med Corp

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1689979114
  NPD
• Michael S Duffy Sr DO Inc

  dba Pacific Medical Care

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1316175342
  NPD
• Rancho Santa Fe Medical Group, Inc.

  dba Mobile Doctor Medical Clinic

  • Family Medicine Physician
  • Oceanside, CA
  • NPI 1629117809
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aspire Healthcare Services

  • Home Health Agency
  • Upland, CA
  • NPI 1780024851
  Care Compare affiliation
• Silver Tree Home Health Inc

  • Home Health Agency
  • San Marcos, CA
  • NPI 1013593409
  Care Compare affiliation

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1215078399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 W SAN MARCOS BLVD STE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784081",
            "telephone_number": "760-591-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1582 W SAN MARCOS BLVD STE 100",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784081",
            "telephone_number": "760-591-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRYSTAL",
        "first_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G74558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G745580",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00290917",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandy Kress, LCSW
• Anitha Krishnan, DDS
• Kyle Kropf
• Natalia Krummel
• Susan Krylow, DDS
• May Kubo
• Anamika Kundu
• George Yung Kung, M.D.
• Kuokoa DME Professional Corporation (Kuokoa DME)
• Evan Anothony Kusmier

• Family Medicine Physician in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.