Active NPI
Crystal Ann Galvan, D.C.
- Chiropractor
- Goleta, CA
National Provider Identifier
1356417851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-30349
- Practice address
- 310 Pine Ave
Suite B
Goleta, CA 93117-3736 - Phone
- (805) 687-8900
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-30349 | CA | Primary |
Addresses
Primary practice location
310 Pine Ave
Suite B
Goleta, CA 93117-3736
Mailing address
464 Vereda del Ciervo
Goleta, CA 93117
Phone (805) 284-2257
Other names 1
- Dr. Crystal Ann Clinton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071221000356 | CA | Practitioner - Chiropractic | 6507956968 | Practice locations: Goleta, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
310 Pine Ave
Suite B
Goleta, CA 93117-3737
Phone (805) 687-8900
310 Pine Ave B
Goleta, CA 93117-3737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30349 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1356417851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 VEREDA DEL CIERVO",
"city": "GOLETA",
"state": "CA",
"postal_code": "93117",
"telephone_number": "805-284-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 PINE AVE",
"address_2": "SUITE B",
"city": "GOLETA",
"state": "CA",
"postal_code": "931173736",
"telephone_number": "805-687-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVAN",
"first_name": "CRYSTAL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-30349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRYSTAL",
"last_name": "CLINTON",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Goleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.