Crossroads Diversified

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

CROSSROADS DIVERSIFIED

Practice address

9300 Tech Center Dr
Suite 160
Sacramento, CA 95826-2565

Phone

(916) 457-1900

NPI assigned

Sep 20, 2013

Organization subpart

No

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

Authorized official

Name

Danny Marquez

Title

Director

Phone

(916) 457-1900

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Nineth Lima

  • Adult Companion
  • Sacramento, CA
  • NPI 1417384066
  NPD (past)
• Iris Keraly Rivera

  • Case Manager/Care Coordinator
  • Sacramento, CA
  • NPI 1245589845
  NPD (past)

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1265868335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 TECH CENTER DR",
            "address_2": "SUITE 160",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262565",
            "telephone_number": "916-457-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 TECH CENTER DR",
            "address_2": "SUITE 160",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262565",
            "telephone_number": "916-457-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS DIVERSIFIED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-457-1900"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Kenyon Cross
• Eric Joseph Crossen, MD, MPH
• Stephanie Shelton Crossen, M.D., M.P.H.
• Allison Anne Crossley
• Crosspoint Residential LLC
• Crossroads Diversified Services, Inc.
• Evelyn Small Crouch, NP, CNM, MS
• Kaitlyn Nicole Crouch, PA-C
• Sadie Crowe
• Andres Crowley, MD

• Point of Service in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.