NPIMap

Organization Active NPI

Crossover Health Medical Group

  • Specialist
  • San Jose, CA
National Provider Identifier
1326830498
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CROSSOVER HEALTH MEDICAL GROUP
Practice address
3571 N 1St St
Cisco Building Q
San Jose, CA 95134-1937
Phone
(408) 424-2000
NPI assigned
May 22, 2025
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Jenette Hunter, CPCS
Title
Licensing and Credentialing Manager
Phone
(971) 500-2661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

3571 N 1St St
Cisco Building Q
San Jose, CA 95134-1937

Mailing address

3571 N 1St St
San Jose, CA 95134-1937

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2330583Crossover Health Medical Group, Apc3571 N 1St St Ste 200, San Jose, CA 95134Certificate of waiverSep 17, 2027

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 22

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

View all 22

Locations

3571 N 1st St
Bldg Q
San Jose, CA 95134
Phone (408) 424-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1326830498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 N 1ST ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951341937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 N 1ST ST",
            "address_2": "CISCO BUILDING Q",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951341937",
            "telephone_number": "408-424-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JENETTE",
        "authorized_official_title_or_position": "LICENSING AND CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "971-500-2661",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.