Organization Active NPI

Crossover Health Medical Group

  • Specialist
  • Seattle, WA
National Provider Identifier
1770298028
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CROSSOVER HEALTH MEDICAL GROUP
Practice address
1111 Expedia Group Way W
Seattle, WA 98119-1111
Phone
(949) 891-0328
NPI assigned
Jan 20, 2023
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CROSSOVER HEALTH MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Angie Sakioka
Title
Ehs Specialist
Phone
(949) 891-0228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1111 Expedia Group Way W
Seattle, WA 98119-1111

Mailing address

101 W Avenida Vista Hermosa Ste 120
San Clemente, CA 92672-7707
Phone (949) 891-0328

National Provider Directory

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

Organizations with this tax ID in the same state 6

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

Locations

1111 Expedia Group Way W
Seattle, WA 98119
Phone (206) 712-7130

NPI Registry JSON

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1770298028",
    "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": "949-891-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 EXPEDIA GROUP WAY W",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981191111",
            "telephone_number": "949-891-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROSSOVER HEALTH MEDICAL GROUP",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "SAKIOKA",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "EHS SPECIALIST",
        "authorized_official_telephone_number": "949-891-0228"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.