Beatriz Yuliana Crisostomo Gomez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

128504 Issued in CA

Practice address

25910 Acero Ste 160
Mission Viejo, CA 92691-2777

Phone

(909) 320-9068

NPI assigned

Jul 29, 2020

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

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Blue Moon Senior Counseling of California LLCGroup PAC ID 9335360981, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Blue Moon Senior Counseling of California LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1447678990

  CA

  Medicare reassignment Care Compare group
• New Hope Christian Counseling Foundation, Inc

  • Community/Behavioral Health Agency
  • Moreno Valley, CA
  • NPI 1538491246
  NPD (past)
• South Coast Children'S Society, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mission Viejo, CA
  • NPI 1083503577
  NPD (past)
• South Coast Children'S Society, Inc

  • Community/Behavioral Health Agency
  • Yucaipa, CA
  • NPI 1962634956
  NPD (past)

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1659980399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34324 YUCAIPA BLVD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992496",
            "telephone_number": "909-790-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 160",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912777",
            "telephone_number": "909-320-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOSTOMO GOMEZ",
        "first_name": "BEATRIZ",
        "middle_name": "YULIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "128504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crest Recovery LLC
• Crest Recovery LLC
• Crest Recovery LLC
• Crest Recovery LLC
• Sarah Emily Crippen, MA
• Jesus Javier Crisostomo Sr.
• Dennis M Crockett, MD
• Jennifer Elizabeth Crook, LCSW
• Cross the World Ministries, Inc.
• Crow Autism & Speech Therapy Consulting Services Inc

• Clinical Social Worker in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Clinical Social Worker in California

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