Crystal Michelle Durgan, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

44252 Issued in CA

Practice address

4077 5TH Ave
San Diego, CA 92103-2105

Phone

(619) 260-7066

NPI assigned

Mar 12, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1710019880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 ROLANDO CT UNIT 91",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921152719",
            "telephone_number": "619-606-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 5TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032105",
            "telephone_number": "619-260-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURGAN",
        "first_name": "CRYSTAL",
        "middle_name": "MICHELLE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Aide Durazo
• Donald Lee Durden, MD, PHD
• Mehak Kaur Dureja
• Anthony Jay Durfee, PA-C
• Derek J Durfee, L. AC.
• Randall Bruce Durgin, IDC
• Ann Crane Durham, FNP-BC
• Anthony Durham
• Gerald Patrick Durkan III, MD
• Marcy Garie Durkin

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.