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

Crystal Vandervort

Individual provider Community Health Worker · NPI 1447122056

Crystal Vandervort is a Community Health Worker in Lake Elsinore, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

506 W Graham Ave Ste 106
Lake Elsinore, CA 92530-3665
Phone: (801) 916-4821
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1447122056
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address506 W Graham Ave Ste 106, Lake Elsinore, CA 92530-3665

Other providers in Lake Elsinore