Crystal Rose Gaza

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120397 Issued in CA

Practice address

1250 Morena Blvd FL 2
San Diego, CA 92110-3815

Phone

(858) 353-2515

NPI assigned

Sep 10, 2020

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

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": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1801401484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 SIGNATURE PL UNIT 2",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919132894",
            "telephone_number": "858-353-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 MORENA BLVD FL 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103815",
            "telephone_number": "858-353-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZA",
        "first_name": "CRYSTAL",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Gaynor
• Janeen Nicole Gaynor
• Elsa Gaytan
• Jessica Esmeralda Gaytan
• Talia Gaytan
• Luisel Pearl Ko Gaza, MSN, APRN, FNP-C
• Betty C Gazaway, LMFT
• Sophie Gazda, LPCC
• Joy Gbasouzor
• Melissa Gbenekama, CTRS

• 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 Sep 10, 2020; 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.