Crystal Ballejos, is a
Rehabilitation Practitioner based in San Bernardino, California. Crystal Ballejos is licensed to practice in * (Not Available) (license number ) and her current practice location is
1481 Windsor Dr, San Bernardino, California. She can be reached at her office (for appointments etc.) via phone at
(909) 361-6470.
NPI number for Crystal Ballejos is 1578947149 and her current mailing address is 850 E Gilbert St, San Bernardino, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578947149.
Healthcare Provider's Profile
| Full Name | Crystal Ballejos |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 1481 Windsor Dr, San Bernardino, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1578947149
- Provider Enumeration Date: 07/14/2015
- Last Update Date: 02/04/2019
Medical Identifiers
Medical identifiers for Crystal Ballejos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578947149 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Ballejos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Crystal Ballejos,
850 E Gilbert St,
San Bernardino, CA 92415-0001
Ph: (909) 387-7200 | Crystal Ballejos,
1481 Windsor Dr,
San Bernardino, CA 92404-5416
Ph: (909) 361-6470 |
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