Individual provider Active NPI

Crystal Mach, RN, NP-BC

  • Family Nurse Practitioner
  • Alhambra, CA
National Provider Identifier
1417817487
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030575 Issued in CA
Practice address
100 Huntington Drive
Alhambra, CA 91801
Phone
(323) 264-7796
NPI assigned
Nov 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030575 CA Primary

Addresses

Primary practice location

100 Huntington Drive
Alhambra, CA 91801

Mailing address

100 Huntington Drive
Alhambra, CA 91801

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
I20260210000520 CA Practitioner - Nurse Practitioner 1355820473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 E Huntington Dr
Alhambra, CA 91801-1022

PO Box
Suite 2589
San Gabriel, CA 91778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95030575CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
California Wound Healing Medical Group Inc. CurrentSince Dec 24, 2025 Accepting new patients
Healing Edge Medical Group - Ca CurrentSince Feb 2, 2026 Accepting new patients
New Hope Podiatry Group Inc. PastSince Dec 29, 2024 Accepting new patients

Locations

100 E Huntington Dr
Ste 209
Alhambra, CA 91801
Phone (323) 262-4146

100 E Huntington Dr
Ste 203
Alhambra, CA 91801

5800 W Wilson St
Banning, CA 92220
Phone (323) 262-4146

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1417817487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HUNTINGTON DRIVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HUNTINGTON DRIVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91801",
            "telephone_number": "323-264-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACH",
        "first_name": "CRYSTAL",
        "credential": "RN, NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.