Active NPI
Crystal Georgia Marquez, SUDCC #9392
- Peer Specialist
- Santa Maria, CA
National Provider Identifier
1861056723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPPSS-HBGDEZ
- Practice address
- 1401 E Main St
Santa Maria, CA 93454-4801 - Phone
- (805) 930-1550
- Fax
- (805) 957-5902
- NPI assigned
- Apr 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | SUDRC9392 | CA | |
| Peer Specialist | 175T00000X | MPPSS-HBGDEZ | CA | Primary |
Addresses
Primary practice location
1401 E Main St
Santa Maria, CA 93454-4801
Mailing address
1401 E Main St
Santa Maria, CA 93454-4801
Phone (805) 930-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9392 | Other | CA | CADTP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SUDRC9392 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| MPPSS-HBGDEZ | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1861056723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 E MAIN ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544801",
"telephone_number": "805-930-1550",
"fax_number": "805-957-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E MAIN ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934544801",
"telephone_number": "805-930-1550",
"fax_number": "805-957-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "CRYSTAL",
"middle_name": "GEORGIA",
"credential": "SUDCC #9392",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-26",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "SUDRC9392",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPPSS-HBGDEZ",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CADTP",
"identifier": "9392",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Maria, CA
- Andrea Denise Marez, LCSW 109067
- Maria R. Silvera Portacio PHD, DDS, Inc.
- Guadalupe Nashely Marin Cruz, LMFT
- Michelle Marie Mariscal
- Jonathan Michael Markley, SUDRC126473
- Sheri D Marquez, MD
- Naomi Alessa Marr, WHNP
- Jennifer Marsano, M.A.
- Tyler Marsden, PT
- Marshall S Humes DDS & Anthony Pitrowski MD, DMD, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.