NPIMap

Organization Active NPI

Crossover Health Medical Group

  • Specialist
  • Cupertino, CA
National Provider Identifier
1548543572
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A74386 Issued in CA
Legal business name
CROSSOVER HEALTH MEDICAL GROUP
Practice address
20730 Valley Green Dr
Apple Wellness Center Cupertino
Cupertino, CA 95014-1704
Phone
(949) 891-0328
Fax
(949) 272-0159
NPI assigned
Sep 26, 2011
Last updated
May 10, 2017By the provider in NPPES
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. Scott Lyman Shreeve, M.D.
Title
Owner Ceo
Phone
(949) 891-0328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A74386 CA Primary

Addresses

Primary practice location

20730 Valley Green Dr
Apple Wellness Center Cupertino
Cupertino, CA 95014-1704

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
Crossover Health 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

20730 Valley Green Dr
Cupertino, CA 95014
Phone (408) 318-3888

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1548543572",
    "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",
            "fax_number": "949-272-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20730 VALLEY GREEN DR",
            "address_2": "APPLE WELLNESS CENTER CUPERTINO",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141704",
            "telephone_number": "949-891-0328",
            "fax_number": "949-272-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "SHREEVE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LYMAN",
        "authorized_official_title_or_position": "OWNER CEO",
        "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": "A74386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.