Crystal Vandervort

NPI 1447122056 · on the registry since 2025

Practice

Address: 506 W Graham Ave Ste 106
Lake Elsinore, CA 92530
Phone: (801) 916-4821
Organisation at this address: Oliveira Medical Inc
Crown Home Health Agency
Steven T. Nguyen, Dds, A P.C.
Inland Empire Medical Group, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 36

Registry record

Primary taxonomy: 172V00000X
172V00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-09-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California