Jeffrey John Crudo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C128508 Issued in CA

Practice address

1100 S Coast Hwy Ste 206
Laguna Beach, CA 92651-2972

Phone

(949) 715-6890

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Hospitalist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epic Medical Group,Inc 54 clinicians

Hospitalist Group of Montebello Inc 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sunny Life Home Health Care Inc Home health agency, Glendale, CA, CCN 753188
• Ag Home Health Services Home health agency, Pasadena, CA, CCN 757510
• Greater El Monte Community Hospital Hospital, South El Monte, CA, CCN 050738
• Chino Valley Medical Center Hospital, Chino, CA, CCN 050586
• Montclair Hospital Medical Center Hospital, Montclair, CA, CCN 050758
• Monterey Park Hospital Hospital, Monterey Park, CA, CCN 050736
• Community Extended Care Hospital Of Montclair Nursing home, Montclair, CA, CCN 056444
• Inland Christian Home Nursing home, Ontario, CA, CCN 555108

Merit-based Incentive Payment System (MIPS)

Final score

84.87 of 100Reported as group

Quality

71.11

Improvement activities

40

Cost

69.18

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 37)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• FHIR API: https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epic Medical Group,Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Sherman Oaks, CA
  • NPI 1295178689

  CA, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Hollywood Internal Medicine Clinic Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1780449744

  CA

  Medicare reassignment NPD Authorized official
• Hospitalist Group of Montebello Inc

  • Hospitalist Physician
  • Corona, CA
  • NPI 1578959318

  CA, Hospitalist

  Medicare reassignment Care Compare group NPD
• 24 On Physicians of California, PC

  • Hospitalist Physician
  • Porterville, CA
  • NPI 1730570565

  CA, Hospitalist

  Medicare reassignment NPD
• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542

  CA

  Medicare reassignment NPD
• County of San Mateo

  • Multi-Specialty Clinic/Center
  • San Mateo, CA
  • NPI 1679642326

  CA

  Medicare reassignment NPD
• County of San Mateo

  • Multi-Specialty Clinic/Center
  • San Mateo, CA
  • NPI 1831268580

  CA

  Medicare reassignment NPD
• Fountain Valley Group Services PC

  • Hospitalist Physician
  • Indio, CA
  • NPI 1013310309

  CA, Hospitalist

  Medicare reassignment NPD
• Galen Inpatient Physicians, PC

  • Hospitalist Physician
  • Manteca, CA
  • NPI 1689320459

  CA, Hospitalist

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of California, Inc

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1184663965

  CA, Internal Medicine

  Medicare reassignment NPD
• Im-FSR Inc.

  • Hospitalist Physician
  • Chino Hills, CA
  • NPI 1154742229

  CA, Hospitalist

  Medicare reassignment NPD
• Inpatient Physicians Network Inc

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1053461178

  CA, Internal Medicine

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ag Home Health Services

  • Home Health Agency
  • Burbank, CA
  • NPI 1629737184
  Care Compare affiliation
• Ahmc Greater El Monte Community

  • General Acute Care Hospital
  • South El Monte, CA
  • NPI 1346232881

  Hospital

  Care Compare affiliation
• Ahmc Monterey Park Hospital LP

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1780676221

  Hospital

  Care Compare affiliation
• Community Convalescent Center of Montclair Inc

  • Skilled Nursing Facility
  • Montclair, CA
  • NPI 1851388458

  Nursing home

  Care Compare affiliation
• Inland Christian Home, Inc.

  • Skilled Nursing Facility
  • Ontario, CA
  • NPI 1093711681

  Nursing home

  Care Compare affiliation
• Prime Healthcare Services - Montclair, LLC

  • General Acute Care Hospital
  • Montclair, CA
  • NPI 1992721161

  Hospital

  Care Compare affiliation
• Sunny Life Home Health Care Inc

  • Home Health Agency
  • Pasadena, CA
  • NPI 1780260653
  Care Compare affiliation
• Veritas Health Services, LLC

  • General Acute Care Hospital
  • Chino, CA
  • NPI 1962407460

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1508987371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S COAST HWY STE 206",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512972",
            "telephone_number": "949-715-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S COAST HWY STE 206",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512972",
            "telephone_number": "949-715-6890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 Corte Orchidia",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920114065",
            "country_code": "US",
            "telephone_number": "858-822-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUDO",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C128508",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C128508",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "12581",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME113261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508987371",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508987371",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Cowan, MFTI
• Christine Arbuthnot Craddock, CRNA
• Miranda Craik, LCSW
• Emily Crick
• Timothy James Crilly, ATC, EMT
• Crystal Cove Recovery LLC
• Crystal Cove Recovery LLC
• CSP Crisis Residential Program
• James Stuart Cumming, M.D.
• Tracy Andrea Darling, MD

• All providers in Laguna Beach, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.