Crystal Georgia Marquez, SUDCC #9392 is a
Peer Specialist based in Santa Maria, California. Crystal Georgia Marquez is licensed to practice in California (license number MPPSS-HBGDEZ) and her current practice location is
1401 E Main St, Santa Maria, California. She can be reached at her office (for appointments etc.) via phone at
(805) 930-1550.
NPI number for Crystal Georgia Marquez is 1861056723 and her current mailing address is 1401 E Main St, Santa Maria, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861056723.
Healthcare Provider's Profile
| Full Name | Crystal Georgia Marquez |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 1401 E Main St, Santa Maria, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1861056723
- Provider Enumeration Date: 04/26/2019
- Last Update Date: 01/29/2026
Medical Identifiers
Medical identifiers for Crystal Georgia Marquez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861056723 | NPI | - | NPPES |
| 9392 | Other | CA | CADTP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | SUDRC9392 (California) | Secondary |
| 175T00000X | Peer Specialist | MPPSS-HBGDEZ (California) | 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 Georgia Marquez 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 Georgia Marquez, SUDCC #9392
1401 E Main St,
Santa Maria, CA 93454-4801
Ph: (805) 930-1550 | Crystal Georgia Marquez, SUDCC #9392
1401 E Main St,
Santa Maria, CA 93454-4801
Ph: (805) 930-1550 |
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