Active NPI
Crystal Medina, M.D.
- Cardiovascular Disease Physician
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A142033
- Practice address
- 2 W Fern Ave
Redlands, CA 92373 - Phone
- (909) 793-3311
- Fax
- (909) 335-1936
- NPI assigned
- Jun 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A142033 | CA | Primary |
Addresses
Primary practice location
2 W Fern Ave
Redlands, CA 92373
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203
Other practice location 1
420 E Ohio St Apt 34B
Chicago, IL 60611-4667
Phone (720) 318-8269
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Colorado School of Medicine, Denver, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 W Fern Ave
Redlands, CA 92373-5916
Phone (909) 793-3311
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A142033 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Family Medicine GP | Internal Medicine | Current | Accepting new patients |
| Beaver Medical Group P C | Internal Medicine | Current | Accepting new patients |
| UC Regents | Cardiovascular Disease | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Internal Medicine | Current | Accepting new patients |
| Cassidy Medical Group Inc. | Current | Accepting new patients | |
| The Regents of the University of California-Irvine | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Redlands Community Hospital | Past | Accepting new patients | |
| Beaver Medical Group P C | Internal Medicine | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725
2 W Fern Ave
#1112
Redlands, CA 92373
1360 W 6th St
Ste G
San Pedro, CA 90732
Phone (310) 547-2445
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- cmedina11096@epiclp.direct-ci.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Optum
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
Internal Medicine
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
dba UC Irvine Hospitalist Program
- Hospitalist Physician
- Orange, CA
- NPI 1154479723
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Multi-Specialty Clinic/Center
- Vista, CA
- NPI 1215003470
-
dba Optumcare Medical Group
- Family Medicine Physician
- Los Alamitos, CA
- NPI 1467598243
Internal Medicine
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
dba UCI Department of Medicine
- Cardiovascular Disease Physician
- Orange, CA
- NPI 1639107139
-
dba Beaver Advantage Health Center
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
Internal Medicine
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
-
- General Acute Care Hospital
- Banning, CA
- NPI 1568469997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767225600000",
"number": "1558625947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-579-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W FERN AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "92373",
"telephone_number": "909-793-3311",
"fax_number": "909-335-1936"
}
],
"practiceLocations": [
{
"address_1": "420 E Ohio St Apt 34B",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606114667",
"country_code": "US",
"telephone_number": "720-318-8269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDINA",
"first_name": "CRYSTAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2026-01-01",
"certification_date": "2026-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A142033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; 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.