What is Crystal Clark's NPI number?

Crystal Clark's National Provider Identifier (NPI) is 1154816460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Crystal Clark's specialty?

Crystal Clark is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Crystal Clark located?

Crystal Clark's practice location on file with NPPES is 631 Maple Ave, Los Angeles, CA 90014-2211.

What is Crystal Clark's phone number?

The practice phone number listed in the NPPES registry for Crystal Clark is (213) 673-3059.

Is Crystal Clark's NPI active?

Yes — Crystal Clark's NPI (1154816460) is active in the NPPES registry as of the last update on 2021-03-01.

IndividualActive

Crystal Clark

NPI 1154816460 · Community Health Worker · Los Angeles, CA

Crystal Clark is a Community Health Worker provider in Los Angeles, CA (NPI 1154816460).

Provider details

NPI number: 1154816460
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers
Case Manager/Care Coordinator171M00000X
Other Service Providers

Profile Score

Established profile(61/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

631 Maple Ave

Los Angeles, CA 90014-2211

Phone: (213) 673-3059

Street-level locationGet directions

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Mailing address