Crystal Michelle Thayer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60380 Issued in CA

Practice address

7160 Brockton Ave FL 2
Riverside, CA 92506-2614

Phone

(951) 782-3821

Fax

(951) 328-9758

NPI assigned

Dec 16, 2021

Last updated

Mar 9, 2026By 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

Other names 1

• Crystal Michelle Becerra Former name

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside Medical Clinic IncGroup PAC ID 2961492327, 173 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Riverside Medical Clinic, Inc

  dba Riverside Medical Clinic

  • Dermatology Physician
  • Riverside, CA
  • NPI 1720183403
  Medicare reassignment Care Compare group
• Temecula Valley Family Physicians Inc.

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1033323746
  NPD (past)

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1437818523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 TREADWELL AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655039",
            "telephone_number": "805-304-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 BROCKTON AVE FL 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062614",
            "telephone_number": "951-782-3821",
            "fax_number": "951-328-9758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6405 Day St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925070901",
            "country_code": "US",
            "telephone_number": "951-683-8370",
            "fax_number": "951-826-8128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24400 Jackson Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925621992",
            "country_code": "US",
            "telephone_number": "951-433-5410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAYER",
        "first_name": "CRYSTAL",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "BECERRA",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Anna Sylvia Thatje
• Susan Elizabeth Thayer, SUDCCII 9405
• Vincent Thayer, AMFT
• The Benin Medical Corporation (Benin Medical Corporation)
• The C.a.U.S.E. Approach
• The Carolyn E. Wylie Center (The Wylie Center)

• Physician Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.