Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Marie Makasarashvili

Individual provider Pediatric Nurse Practitioner · NPI 1831937895

Crystal Marie Makasarashvili is a Pediatric Nurse Practitioner in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

6840 Via Del Oro Ste 210
San Jose, CA 95119-1372
Phone: (408) 284-2280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 95030716 (CA)

Record details

NPI number1831937895
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 16, 2024
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

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