Crossover Health Medical Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CROSSOVER HEALTH MEDICAL GROUP

Doing business as

Crossover @ Royal Oak

Practice address

424 E. 4TH St
Suite 100
Royal Oak, MI 48067

Phone

(949) 891-0328

NPI assigned

Sep 29, 2020

Last updated

Sep 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angie Sakioka

Title

Operations

Phone

(949) 891-0228

Specialties & licenses 1

Addresses

Other names 1

• Crossover @ Royal Oak Doing business as

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

CLIA laboratory certificates

Tax ID family

Crossover Medical Group89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

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

• Crossover Health Medical Group

  dba Crossover @ Brownstown

  • Multi-Specialty Clinic/Center
  • Brownstown TWP, MI
  • NPI 1619584570
  NPD tax ID
• Crossover Health Medical Group

  dba Crossover @ Westland

  • Multi-Specialty Clinic/Center
  • Westland, MI
  • NPI 1801403753
  NPD tax ID

Locations

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1205443751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W AVENIDA VISTA HERMOSA STE 120",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926727707",
            "telephone_number": "949-891-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E. 4TH ST",
            "address_2": "SUITE 100",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48067",
            "telephone_number": "949-891-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "SAKIOKA",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "949-891-0228"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossover @ Royal Oak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darlene Ruth Crook, APRN
• Melody Crooms
• Maddison Lynn Cross
• Suzanne Bossenberry Cross, RN
• Alexandra Crosson, LLMSW
• Kristen Crowe, OTRL, CHT
• Mary-Anne Crupi, NURSE PRACTITIONER
• Adam James Cruz, M.D.
• Szandra Csuta-Galisz
• Victoria Cuadrio, LPC

• Multi-Specialty Clinic/Center in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.