NPIMap

Organization Active NPI

Crossover Health

  • Specialist
  • Austin, TX
National Provider Identifier
1518229293
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A62815 Issued in CA
Legal business name
CROSSOVER HEALTH
Practice address
5505 W Parmer LN
Building 4
Austin, TX 78727-4020
Phone
(949) 891-0328
NPI assigned
Jun 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Authorized official

Name
Dr. Richard M Patragnoni, M.D.
Title
Medical Director
Phone
(949) 891-0328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A62815 CA Primary

Addresses

Primary practice location

5505 W Parmer LN
Building 4
Austin, TX 78727-4020

Mailing address

101 W Avenida Vista Hermosa
Suite 120
San Clemente, CA 92672-7706
Phone (949) 891-0328

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
45D2042405Crossover Health Austin5505 W Parmer , Building 4, Austin, TX 78727Provider-performed microscopyDec 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Crossover Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5505 W Parmer Ln
Bldg 4
Austin, TX 78727
Phone (512) 381-5301

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1518229293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W AVENIDA VISTA HERMOSA",
            "address_2": "SUITE 120",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926727706",
            "telephone_number": "949-891-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 W PARMER LN",
            "address_2": "BUILDING 4",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787274020",
            "telephone_number": "949-891-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "PATRAGNONI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-891-0328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A62815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.