Crystal Path Wellness Nursing Corp

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CRYSTAL PATH WELLNESS NURSING CORP

Practice address

4010 Truxel Rd Ste 170
Sacramento, CA 95834-3795

Phone

(813) 494-4476

NPI assigned

Feb 21, 2026

Organization subpart

No

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

Authorized official

Name

Lateefat Tiwalade AdeleNPI 1053175323

Title

Owner

Phone

(813) 494-4476

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lateefat Tiwalade Adele, MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roseville, CA
  • NPI 1053175323
  NPD Authorized official

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

{
    "created_epoch": "1771632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771632000000",
    "number": "1306790019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 TRUXEL RD STE 170",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343795",
            "telephone_number": "813-494-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 TRUXEL RD STE 170",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958343795",
            "telephone_number": "813-494-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL PATH WELLNESS NURSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-21",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A",
        "authorized_official_last_name": "ADELE",
        "authorized_official_first_name": "LATEEFAT",
        "authorized_official_middle_name": "TIWALADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-494-4476"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Cruz
• Vernon Cruz
• Yleanna Cruz
• Marissa Cruzada
• Angel Cruzata
• CS II,LLC
• CS II,LLC Dba Clean and Sober Detox
• CS II,LLC Dba Zinnia Health Sacramento
• CSG Senior Living Management LLC
• David J. Cua, MD

• Psychiatric/Mental Health Nurse Practitioner in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; 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.