Active NPI
Crossover Health Medical Group
- Multi-Specialty Clinic/Center
- New York, NY
National Provider Identifier
1700514478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- CROSSOVER HEALTH MEDICAL GROUP
- Practice address
- 101 5TH Ave
New York, NY 10003-1008 - Phone
- (949) 891-0328
- NPI assigned
- Aug 10, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angie Sakioka
- Title
- Operations Specialist
- Phone
- (949) 891-0228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
101 5TH Ave
New York, NY 10003-1008
Mailing address
101 W Avenida Vista Hermosa Ste 120
San Clemente, CA 92672-7707
Phone (714) 925-4054
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2270685 | Crossover Health Medical Group, Apc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Crossover Medical Group
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Specialist
- Purchase, NY
- NPI 1568169779
-
- Specialist
- New York, NY
- NPI 1700326212
-
- Specialist
- New York, NY
- NPI 1972034346
Locations
101 5th Ave
New York, NY 10003
Phone (917) 309-0471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660089600000",
"number": "1700514478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W AVENIDA VISTA HERMOSA STE 120",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926727707",
"telephone_number": "714-925-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 5TH AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031008",
"telephone_number": "949-891-0328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A",
"authorized_official_last_name": "SAKIOKA",
"authorized_official_first_name": "ANGIE",
"authorized_official_title_or_position": "OPERATIONS SPECIALIST",
"authorized_official_telephone_number": "949-891-0228"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.