Individual provider Active NPI

Crystina Ybarra

  • Social Worker
  • San Jose, CA
National Provider Identifier
1548786528
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW131426 Issued in CA
Practice address
6201 San Ignacio Ave
San Jose, CA 95119-1325
Phone
(669) 216-4906
NPI assigned
Aug 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW131426 CA Primary

Addresses

Primary practice location

6201 San Ignacio Ave
San Jose, CA 95119-1325

Mailing address

6201 San Ignacio Ave
San Jose, CA 95119-1325
Phone (669) 216-4906

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251224000573 CA Practitioner - Clinical Social Worker 2163917360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Native American Mental Health Services CorporationGroup PAC ID 5395072490, 62 clinicians

Practice addresses (Care Compare)

450 Lincoln Ave
Suite 101
Salinas, CA 93901-2652
Phone (831) 269-5988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW131426CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Native American Mental Health Services Corporation CurrentSince Oct 28, 2025 Accepting new patients

Locations

2400 Washington Ave
Ste 100
Redding, CA 96001
Phone (530) 226-7419

1742 Oregon St
Redding, CA 96001
Phone (530) 226-7419

450 Lincoln Ave
Ste 101
Salinas, CA 93901
Phone (831) 269-5288

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1548786528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 SAN IGNACIO AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191325",
            "telephone_number": "669-216-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 SAN IGNACIO AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191325",
            "telephone_number": "669-216-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YBARRA",
        "first_name": "CRYSTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "LCSW131426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.