Crystal Adilene Nunez, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000055327 Issued in CA

Practice address

18900 Prospect Rd
Saratoga, CA 95070-3499

Phone

(408) 626-3408

NPI assigned

Oct 10, 2022

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

State licenses

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1225753544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 SUNSET WAY APT 8",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953761838",
            "telephone_number": "805-550-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18900 PROSPECT RD",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950703499",
            "telephone_number": "408-626-3408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952110110",
            "country_code": "US",
            "telephone_number": "209-946-2588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "CRYSTAL",
        "middle_name": "ADILENE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000055327",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosette Dinh Nguyen, DDS, MPH
• Tan Tri Nguyen, D.C
• Thuy-Anh Nguyen, DDS
• Mike Nichols, M.D.
• Frank Richard Noodleman, M.D.
• Peter Nusbaum
• Shawnessy Patrick O'Dell, PSY.D.
• Lindsey Marie O'Farriell, DDS
• Parker O'Regan, DPT
• Odd Fellows Home of California

• Athletic Trainer in Saratoga, CA
• Providers in Saratoga, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.