NPIMap

Organization Active NPI

Crossover Health Medical Group

  • Specialist
  • Cupertino, CA
National Provider Identifier
1023553732
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CROSSOVER HEALTH MEDICAL GROUP
Practice address
19500 E. Homestead Rd.
Cupertino, CA 95014
Phone
(949) 891-0328
Fax
(949) 272-0159
NPI assigned
Jan 4, 2017
Last updated
May 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Angie Sakioka
Title
Quality and Compliance Associate
Phone
(949) 891-0328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

19500 E. Homestead Rd.
Cupertino, CA 95014

Mailing address

101 W Avenida Vista Hermosa
Suite 120
San Clemente, CA 92672-7706
Phone (949) 891-0328

National Provider Directory

National Provider Directory
Tax ID family
Crossover Medical Group89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1023553732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W AVENIDA VISTA HERMOSA",
            "address_2": "SUITE 120",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926727706",
            "telephone_number": "949-891-0328",
            "fax_number": "949-272-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 E. HOMESTEAD RD.",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "95014",
            "telephone_number": "949-891-0328",
            "fax_number": "949-272-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "SAKIOKA",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "QUALITY AND COMPLIANCE ASSOCIATE",
        "authorized_official_telephone_number": "949-891-0328",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.