Crystal Ann Grund

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18026 Issued in CA

Practice address

225 San Antonio Rd
Mountain View, CA 94040-1209

Phone

(650) 948-0807

Fax

(650) 948-3319

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crystal Dvorak 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystal.grundpa.p1@direct.ppmarmonte.nextgenshare.com

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.

• Planned Parenthood Mar Monte, Inc

  • Community Health Clinic/Center
  • Stockton, CA
  • NPI 1174579957
  Medicare reassignment
• Planned Parenthood Mar Monte Inc.

  • Community Health Clinic/Center
  • Redwood City, CA
  • NPI 1477977973
  NPD
• Planned Parenthood Mar Monte, Inc

  • Community Health Clinic/Center
  • San Jose, CA
  • NPI 1558314609
  NPD
• Planned Parenthood Mar Monte, Inc

  • Community Health Clinic/Center
  • Seaside, CA
  • NPI 1972556967
  NPD
• Planned Parenthood Mar Monte, Inc.

  • Community Health Clinic/Center
  • Mountain View, CA
  • NPI 1386299899
  NPD
• Planned Parenthood Mar Monte, Inc.

  • Community Health Clinic/Center
  • San Jose, CA
  • NPI 1598536971
  NPD
• Planned Parenthood Mar Monte, Inc

  • Community Health Clinic/Center
  • San Jose, CA
  • NPI 1043263189
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1720151764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-795-3619",
            "fax_number": "408-287-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SAN ANTONIO RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940401209",
            "telephone_number": "650-948-0807",
            "fax_number": "650-948-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUND",
        "first_name": "CRYSTAL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FJ318Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "DVORAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Maria Grillo, ACNPC-AG
• David Robert Grimm
• Grit Mindset Therapy a Licensed Clinical Social Worker Corporation
• Lauren Sue Grossman, MD
• Lauren Groves, DC
• Chally Grundwag, LMFT
• Hong Gu, MD
• Alexandra R Gubbels, MD
• Surendra Babu Gudapati, M.D.
• Gladys Gudino

• Physician Assistant in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.