Individual provider Active NPI

Crystal Rose Sophia Alpert, PA-C

  • Medical Physician Assistant
  • Walnut Creek, CA
National Provider Identifier
1821225319
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA20344 Issued in CA
Practice address
110 Tampico
Ste 210
Walnut Creek, CA 94598-2962
Phone
(925) 935-6952
NPI assigned
Jun 11, 2009
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA20344 CA Primary

Addresses

Primary practice location

110 Tampico
Ste 210
Walnut Creek, CA 94598-2962

Mailing address

110 Tampico
Ste 210
Walnut Creek, CA 94598-2962
Phone (925) 935-6952

Other practice location 1

2481 Pacheco St
Concord, CA 94520-2019
Phone (925) 680-8933

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000759 CA Practitioner - Physician Assistant 2062536972 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20344CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy a. Leach MD Inc Current Accepting new patients
Bass Medical Group CurrentSince Mar 3, 2025 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

110 Tampico
Ste 210
Walnut Creek, CA 94598
Phone (925) 935-6952

Interoperability endpoints

  • Direct secure messaging: calpert71406@ehr.johnmuirhealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1821225319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TAMPICO",
            "address_2": "STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982962",
            "telephone_number": "925-935-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TAMPICO",
            "address_2": "STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982962",
            "telephone_number": "925-935-6952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2481 Pacheco St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945202019",
            "country_code": "US",
            "telephone_number": "925-680-8933",
            "fax_number": "925-680-7635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALPERT",
        "first_name": "CRYSTAL",
        "middle_name": "ROSE SOPHIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.