NPIMap

Organization Active NPI

Crossover Health Medical Group

  • Specialist
  • Santa Clara, CA
National Provider Identifier
1396608550
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CROSSOVER HEALTH MEDICAL GROUP
Practice address
2821 Scott Blvd Ste 2126
Santa Clara, CA 95050-2549
Phone
(971) 500-2661
NPI assigned
Dec 4, 2025
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Mrs. Jenette Hunter, CPCS
Title
Sr. Manager of Credentialing
Phone
(971) 500-2661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2821 Scott Blvd Ste 2126
Santa Clara, CA 95050-2549

Mailing address

2821 Scott Blvd Ste 2126
Santa Clara, CA 95050-2549

Other identifiers 1

IdentifierTypeStateIssuer
193200000XOtherNONMEDICARE

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 24

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

View all 24

Locations

2821 Scott Blvd
Ste 2126
Santa Clara, CA 95050
Phone (408) 217-5390

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1396608550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 SCOTT BLVD STE 2126",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950502549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 SCOTT BLVD STE 2126",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950502549",
            "telephone_number": "971-500-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JENETTE",
        "authorized_official_title_or_position": "SR. MANAGER OF CREDENTIALING",
        "authorized_official_telephone_number": "971-500-2661",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONMEDICARE",
            "identifier": "193200000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.