Crystal Adriana Chavez · Crystal Padilla · Physician Assistant

1617 N California St Ste 2a, Stockton, CA 95204-6117

Overview

Crystal Adriana Chavez is a Physician Assistant practicing in Stockton, California. The National Provider Identifier (NPI) is #1912539271, which was assigned on February 5, 2020, and the registration record was last updated on March 2, 2026. The practitioner's main practice location is at 1617 N California St Ste 2a, Stockton, CA 95204-6117; the contact telephone number is 2094668546, and the fax number is 2094663335. The primary taxonomy of Crystal Adriana Chavez is Physician Assistant (363A00000X). Crystal Adriana Chavez is licensed to practice in the state of California (#57917).

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Provider Information

NPI 1912539271
Entity Type Individual
Provider Name CRYSTAL ADRIANA CHAVEZ
Other Name CRYSTAL PADILLA
(Former Name)
Gender Female
Credential PA-C
Other Credential PA-C
Practice Address 1617 N California St Ste 2a
Stockton
CA 95204-6117
Practice Telephone 2094668546
Practice Fax Number 2094663335
Mailing Address 1617 N California St Ste 2a
Stockton
CA 95204-6117
Mailing Telephone 2094668546
Mailing Fax Number 2094663335
Certification Date 2026-03-02
Enumeration Date 2020-02-05
Last Update Date 2026-03-02
Is Sole Proprietor Y

Doctor and Clinician Information

PAC ID 3779909239
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name CRYSTAL ADRIANA CHAVEZ
Primary Specialty PHYSICIAN ASSISTANT
Organization Legal Name P. GILL OBSTETRICS AND GYNECOLOGY MEDICAL GROUP, INC.
Address 1617 N California St
Stockton
CA 95204-6117

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician Assistant57917CA

Secondary Practice Locations

AddressTelephoneFax
809 Hampton Rd, Hayward, CA 9454114215105122977

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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Provider NameAddressTaxonomyEnumeration Date
Mission Emergency Medicine Services, Pa 2827 Babcock Rd, San Antonio, TX 78229-4813Physician Assistant2026-04-10
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Molly Elizabeth Henson 3214 E Race Ave Fl 2, Searcy, AR 72143-4810Physician Assistant2026-04-10
Hawksbill Physician Services, LLC 200 Memorial Dr, Luray, VA 22835-1000Physician Assistant2026-04-10
Brandon J Lafever 43 New Scotland Ave, Albany, NY 12208-3478Physician Assistant2026-04-11
Gabriella Rodriguez 2919 W Swann Ave Ste 106, Tampa, FL 33609-4049Physician Assistant2026-04-10
Sarah Madison Chalstrom 9003 E Shea Blvd, Scottsdale, AZ 85260-6709Physician Assistant2026-04-10
Ella Ruth Sweeney 900 South Limestone, Lexington, KY 40536-0200Physician Assistant2026-04-10
Suzannah Jet Lipstein 34 Maple St, Norwalk, CT 06850-3815Physician Assistant2026-04-10
Cacapon Physician Services, PLLC 363 Sunrise Blvd, Romney, WV 26757-4607Physician Assistant2026-04-10
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Location Information

Street Address 1617 N CALIFORNIA ST STE 2A
City STOCKTON
State CA
Zip Code 95204-6117
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Magegan K. Sakhizada · Magegan Khorsand 1617 N California St Ste 2a, Stockton, CA 95204-6117Physician Assistant2021-05-24

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Dayna Williams · Dayna Buchman 3215 N California St, Stockton, CA 95204-3433Physical Therapist2022-11-15
Ava Rose Tounou 118 W Churchill St, Stockton, CA 95204-1916Behavior Technician2026-03-25
Casa Nueva Esperanza 3230 N El Dorado St, Stockton, CA 95204-3415Recovery Care Clinic/Center2025-10-08
Cheletta Harrold-Adams 4102 Alvarado Ave, Stockton, CA 95204-2307Doula2025-09-09
Living Stone Sober Living, LLC 227 E Downs St, Stockton, CA 95204-2005Addiction (Substance Use Disorder) Counselor2025-12-01
Guillermo Gomez 3230 N El Dorado St, Stockton, CA 95204-3415Recovery Care Clinic/Center2025-10-07
Perry Shelton 1162 Oxford Way, Stockton, CA 95204-3041Behavior Technician2026-01-26
Holistic Home Care LLC 4122 N El Dorado St, Stockton, CA 95204-2105In Home Supportive Care Agency2023-11-15
Ricardo Lopez 2716 Inman Ave, Stockton, CA 95204-2649Case Manager/Care Coordinator2026-03-20
Hospice of San Joaquin 3888 Pacific Ave, Stockton, CA 95204-1953Community Based Hospice Care Agency2005-06-20
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.