Individual provider Active NPI

Cecilio Emanuel Crosby

  • Home Health Agency
  • Chula Vista, CA
National Provider Identifier
1366795825
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
45-3693214 Issued in CA
Practice address
319 F St
Suite 205
Chula Vista, CA 91910-2666
Phone
(619) 746-6978
Fax
(619) 779-7081
NPI assigned
Oct 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 45-3693214 CA Primary

Addresses

Primary practice location

319 F St
Suite 205
Chula Vista, CA 91910-2666

Mailing address

319 F St
Suite 205
Chula Vista, CA 91910-2666
Phone (619) 746-6978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Homecare, Inc. Home Health Past Accepting new patients
Cecilio Emanuel Crosby Home Health PastSince Nov 13, 2012 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1366795825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 F ST",
            "address_2": "SUITE 205",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102666",
            "telephone_number": "619-746-6978",
            "fax_number": "619-779-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 F ST",
            "address_2": "SUITE 205",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102666",
            "telephone_number": "619-746-6978",
            "fax_number": "619-779-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "CECILIO",
        "middle_name": "EMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "45-3693214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.