Organization Active NPI

Michelle B. Crosby M.D., PH.D. Incorporated

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1477804284
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A108687 Issued in CA
Legal business name
MICHELLE B. CROSBY M.D., PH.D. INCORPORATED
Practice address
5550 Carmel Mountain Rd Ste 206
San Diego, CA 92130-4861
Phone
(858) 943-2540
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Michelle Crosby, MD, PHD
Title
President
Phone
(858) 943-2540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A108687 CA Primary

Addresses

Primary practice location

5550 Carmel Mountain Rd Ste 206
San Diego, CA 92130-4861

Mailing address

2658 Del Mar Heights Rd # 229
Del Mar, CA 92014-3100

Other practice location 1

169 Saxony Rd Ste 115
Encinitas, CA 92024-6780
Phone (760) 633-3377

National Provider Directory

National Provider Directory

Locations

5550 Carmel Mountain Rd
Ste 206
San Diego, CA 92130
Phone (858) 943-2540

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1477804284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2658 DEL MAR HEIGHTS RD # 229",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 CARMEL MOUNTAIN RD STE 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304861",
            "telephone_number": "858-943-2540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Saxony Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920246780",
            "country_code": "US",
            "telephone_number": "760-633-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHELLE B. CROSBY M.D., PH.D. INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-943-2540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A108687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.