NPIMap

Organization Active NPI

Crescent Healthcare, Inc.

  • Home Infusion Therapy Pharmacy
  • Riverside, CA
National Provider Identifier
1043339807
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PHY48850 Issued in CA
Legal business name
CRESCENT HEALTHCARE, INC.
Practice address
2010 Iowa Ave
Suite 110
Riverside, CA 92507-7433
Phone
(951) 785-5400
Fax
(951) 774-1849
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Meenal Sethna
Title
President & Cfo
Phone
(800) 879-6137

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 250000487 CA
Home Infusion Agency 251F00000X
Infusion Therapy Clinic/Center 261QI0500X PHY48850 CA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PHY48850 CA
Home Infusion Therapy Pharmacy 3336H0001X PHY48850 CA Primary

Addresses

Primary practice location

2010 Iowa Ave
Suite 110
Riverside, CA 92507-7433

Mailing address

4222 Paysphere Circle
Chicago, IL 60674-0042
Phone (800) 879-6137

Other identifiers 1

IdentifierTypeStateIssuer
1043339807MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061213000641 CA Part B Supplier - Pharmacy 6103710785 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Diego, CA; Santa Fe Springs, CA; Riverside, CA; Hayward, CA
O20100930099221 CA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 6103710785 Practice locations: Riverside, CA

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Crescent Healthcare Inc2010 Iowa Ave, Riverside, CA 92507-7433(951) 774-1844 External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2021

National Provider Directory

National Provider Directory
Tax ID family
Crescent Healthcare12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1640 Newport Blvd
Ste 435
Costa Mesa, CA 92627

11550 Indian Hills Rd
Ste 201
Mission Hills, CA 91345

2010 Iowa Ave
Ste 106
Riverside, CA 92507

15025 Innovation Dr
Ste 100
San Diego, CA 92128
Phone (800) 736-4872

175 N Jackson Ave
Ste 100
San Jose, CA 95116
Phone (408) 929-5610

44274 George Cushman Ct
Ste 204
Temecula, CA 92592

2023 W Vista Way
Ste S
Vista, CA 92083
Phone (760) 613-3374

855 N Lark Ellen Ave
West Covina, CA 91791
Phone (626) 966-7575

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1043339807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 PAYSPHERE CIRCLE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740042",
            "telephone_number": "800-879-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 IOWA AVE",
            "address_2": "SUITE 110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077433",
            "telephone_number": "951-785-5400",
            "fax_number": "951-774-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "SETHNA",
        "authorized_official_first_name": "MEENAL",
        "authorized_official_title_or_position": "PRESIDENT & CFO",
        "authorized_official_telephone_number": "800-879-6137"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "250000487",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "CA",
            "license": "PHY48850",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "PHY48850",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "PHY48850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043339807",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.