Laura Lisa Crisostomo, RN, PHN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

778298 Issued in CA

Practice address

2220 E Gonzales Rd Ste 102
Oxnard, CA 93036-8293

Phone

(805) 981-5221

NPI assigned

Nov 13, 2017

Last updated

Nov 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1235642299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 E GONZALES RD STE 102",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930368293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 E GONZALES RD STE 102",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930368293",
            "telephone_number": "805-981-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOSTOMO",
        "first_name": "LAURA LISA",
        "credential": "RN, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "778298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Isabel Crawford, ASW, PPSC
• David Hugh Creamer, M.D.
• Creating Opportunities Behavioral Services
• Credence Anesthesia Corporation
• Ashley Tashelle Crisostomo, FNP
• Melissa Kathleen Cronin-Brown
• Aubrie Croteau, RDHAP
• Daniela Cruz
• Geovani Cruz
• Irene Cruz, DDS

• Case Management Registered Nurse in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.