Individual provider Active NPI

Crystal Nicole Pruitt, MD

  • Obstetrics & Gynecology Physician
  • Loma Linda, CA
National Provider Identifier
1215357793
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A143165 Issued in CA
Practice address
11370 Anderson St Ste 3900
Loma Linda, CA 92354-3450
Phone
(909) 558-2806
NPI assigned
Apr 23, 2014
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A143165 CA Primary

Addresses

Primary practice location

11370 Anderson St Ste 3900
Loma Linda, CA 92354-3450

Mailing address

11370 Anderson St Ste 3900
Loma Linda, CA 92354-3450
Phone (909) 558-2806

Other practice location 1

25485 Medical Center Dr Ste 100
Murrieta, CA 92562-6927
Phone (951) 683-6370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180831001555 CA Practitioner - Obstetrics/Gynecology 9830449453 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mayo Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sac Health SystemGroup PAC ID 4385533579, 222 clinicians
San Gorgonio Memorial Health Care DistrictGroup PAC ID 0749556793, 4 clinicians

Practice addresses (Care Compare)

11370 Anderson St
Loma Linda, CA 92354-3450

1454 E 2ND St
San Bernardino, CA 92408-0118
Phone (909) 382-7100

2195 Club Ctr Dr
San Bernardino, CA 92408-4162
Phone (909) 835-1750

264 N Highland Springs Ave
Suite 3D
Banning, CA 92220-3085
Phone (951) 951-2762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A143165CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sac Health System Current Accepting new patients
San Gorgonio Memorial Health Care District Obstetrics & Gynecology CurrentSince Dec 28, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Oct 7, 2022 Accepting new patients
Sac Health System CurrentSince Aug 29, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 16, 2018 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 16, 2018 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Jasleen Singh MD Professional PastSince Jan 28, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Loma Linda University Children's Hospital Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Riverside Medical Center Past Accepting new patients

Locations

264 N Highland Springs Ave
Ste 3D
Banning, CA 92220
Phone (951) 845-6993

264 N Highland Springs Ave
Ste D
Banning, CA 92220
Phone (833) 443-6287

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

82934 Civic Center Dr
Indio, CA 92201
Phone (760) 477-0733

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

11234 Anderson St
Ofc
Loma Linda, CA 92350
Phone (909) 558-4074

11370 Anderson St
#3900
Loma Linda, CA 92354
Phone (909) 370-3587

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
Ste 3900
Loma Linda, CA 92354
Phone (909) 558-2806

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146

2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 576-8798

Interoperability endpoints

  • Direct secure messaging: cpruitt72621@direct.llu.edu
  • Direct secure messaging: crystal.pruitt.1@31948.direct.athenahealth.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1215357793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST STE 3900",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543450",
            "telephone_number": "909-558-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST STE 3900",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543450",
            "telephone_number": "909-558-2806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25485 Medical Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925626927",
            "country_code": "US",
            "telephone_number": "951-683-6370",
            "fax_number": "951-248-6735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "CRYSTAL",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A143165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.