Individual provider Active NPI

Crystal Villa Hernandez, ASW

  • Clinical Social Worker
  • Temecula, CA
National Provider Identifier
1467018580
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117922 Issued in CA
Practice address
41689 Enterprise Cir N Ste 120
Temecula, CA 92590-5630
Phone
(951) 587-4165
NPI assigned
May 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 117922 CA Primary

Addresses

Primary practice location

41689 Enterprise Cir N Ste 120
Temecula, CA 92590-5630

Mailing address

29768 Dawncrest Cir
Temecula, CA 92591-1878
Phone (760) 682-8076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
117922CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Koinonia Foster Homes, Inc. CurrentSince Oct 21, 2025 Accepting new patients

Locations

41689 Enterprise Cir N
Ste 120
Temecula, CA 92590
Phone (951) 587-4165

Organizations & group practices 1

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": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1467018580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29768 DAWNCREST CIR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925911878",
            "telephone_number": "760-682-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41689 ENTERPRISE CIR N STE 120",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905630",
            "telephone_number": "951-587-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA HERNANDEZ",
        "first_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.