Krystal Faye Saum, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95024925 Issued in CA

Practice address

6833 Indiana Ave Ste 101
Riverside, CA 92506-4223

Phone

(657) 346-6319

Fax

(951) 269-4184

NPI assigned

May 2, 2023

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

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nebula Health, LLCGroup PAC ID 8820482805, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Nebula Health, LLC

  • Adult Mental Health Clinic/Center
  • Riverside, CA
  • NPI 1194479501
  Medicare reassignment Care Compare group NPD
• Nebula Health, P. C.

  • Psychiatry Physician
  • Riverside, CA
  • NPI 1770357147
  NPD (past)

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1952090425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6164 GRANT ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103758",
            "telephone_number": "909-203-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 INDIANA AVE STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064223",
            "telephone_number": "657-346-6319",
            "fax_number": "951-269-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUM",
        "first_name": "KRYSTAL",
        "middle_name": "FAYE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Satori Medical Supply, Inc.
• Isabel Siana Sauceda
• Aileen Saucedo
• Ashley Saucedo
• Sergio P. Saucedo, D.D.S.
• Angelena Nicole Saunders
• Denise Lynn Saunders, FNP
• Katrina Saunders
• Kimberly Jo Savage, FNP-C
• Manubhai Jadavji Savani, DDS

• Psychiatric/Mental Health Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.