NPIMap

Organization Active NPI

Crossover Health Medical Group

  • Primary Care Clinic/Center
  • Aliso Viejo, CA
National Provider Identifier
1679702013
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A74386 Issued in CA
Legal business name
CROSSOVER HEALTH MEDICAL GROUP
Practice address
26831 Aliso Creek Rd
Suite 200
Aliso Viejo, CA 92656-5341
Phone
(949) 235-9375
Fax
(877) 497-5272
NPI assigned
Jul 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 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
Chief Executive Officer
Phone
(949) 235-9375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A74386 CA Primary

Addresses

Primary practice location

26831 Aliso Creek Rd
Suite 200
Aliso Viejo, CA 92656-5341

Mailing address

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

Other names 1

  • Crossover Health Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crossover Medical Group89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

26831 Aliso Creek Rd
Ste 200
Aliso Viejo, CA 92656
Phone (949) 235-9375

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1679702013",
    "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": "92672",
            "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": "26831 ALISO CREEK RD",
            "address_2": "SUITE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565341",
            "telephone_number": "949-235-9375",
            "fax_number": "877-497-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "SHREEVE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LYMAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "949-235-9375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A74386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossover Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.