Individual provider Active NPI

Trevor Crossley, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1679014922
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33819 Issued in CA
Practice address
9625 Black Mountain Rd
Ste 208
San Diego, CA 92126-4598
Phone
(858) 634-2225
NPI assigned
Mar 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33819 CA Primary

Addresses

Primary practice location

9625 Black Mountain Rd
Ste 208
San Diego, CA 92126-4598

Mailing address

736 W 4TH Ave
La Habra, CA 90631-6012
Phone (760) 500-3570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33819CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crossley Chiropractic Inc Chiropractor CurrentSince Mar 20, 2022 Accepting new patients

Locations

9474 Kearny Villa Rd
Ste 213
San Diego, CA 92126
Phone (858) 634-2225

9625 Black Mountain Rd
Ste 208
San Diego, CA 92126
Phone (858) 634-2225

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1489881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1679014922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 W 4TH AVE",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316012",
            "telephone_number": "760-500-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 BLACK MOUNTAIN RD",
            "address_2": "STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264598",
            "telephone_number": "858-634-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSLEY",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-19",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33819",
            "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 Jan 7, 2020; 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.