Individual provider Active NPI

Crystal Yvonne Colone, DHA,DHCS, MPH,MS,PAC

  • Medical Physician Assistant
  • Norco, CA
National Provider Identifier
1265742514
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
21198 Issued in CA
Practice address
3073 Dapplegray LN
Norco, CA 92860-4141
Phone
(951) 858-3543
NPI assigned
Oct 19, 2010
Last updated
Apr 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 21198 CA
Medical Physician Assistant 363AM0700X 21198 CA Primary
Surgical Physician Assistant 363AS0400X 21198 CA

Addresses

Primary practice location

3073 Dapplegray LN
Norco, CA 92860-4141

Mailing address

3073 Dapplegray LN
Norco, CA 92860-4141
Phone (951) 858-3543

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120614000091 CA Practitioner - Physician Assistant 2860656394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advantage Neuropsychiatric Associates a P CGroup PAC ID 0547395048, 16 clinicians

Practice addresses (Care Compare)

1010 W Chapman Ave
Orange, CA 92868-2847
Phone (714) 633-4300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
74.98
Improvement activities
40
Cost
51.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Heroes Inc CurrentSince Jul 10, 2022 Accepting new patients
Skilled Facility Health Care Solutions Inc Past Accepting new patients

Locations

1010 W Chapman Ave
Orange, CA 92868
Phone (714) 633-4300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1265742514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 DAPPLEGRAY LN",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928604141",
            "telephone_number": "951-858-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 DAPPLEGRAY LN",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928604141",
            "telephone_number": "951-858-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLONE",
        "first_name": "CRYSTAL",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "DHA,DHCS, MPH,MS,PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "21198",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "21198",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "21198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

Verify at the official NPI Registry.