Crystal Hustad Pena, APRN, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95010408 Issued in CA

Practice address

3440 Lomita Blvd Ste 240
Torrance, CA 90505-4871

Phone

(310) 539-5060

NPI assigned

Dec 7, 2018

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

Other names 1

• Crystal Nicole Hustad Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1871064436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 LONG BEACH BLVD UNIT 122",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023186",
            "telephone_number": "714-316-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD STE 240",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054871",
            "telephone_number": "310-539-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "CRYSTAL",
        "middle_name": "HUSTAD",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1263 E Arques Ave",
            "city": "Sunnyvale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940854701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "HUSTAD",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Marie Peetz, M.A., CCC-SLP
• Joan Peightal
• Darcey Mehrban Peindl
• Bryant Pelaez
• Daniel Pelayo
• Jeremy Chris Pena
• Julian Pena
• Jessica Susana Ridao Penaflor, AGNP-C
• Thomas Penaflor
• Rosa Lina Penaloza, MD

• Nurse Practitioner in Torrance, CA
• Providers in Torrance, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.