Crossover Health Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CROSSOVER HEALTH MEDICAL GROUP

Practice address

8000 S Federal Way # Ms 1-706
Boise, ID 83716-9632

Phone

(949) 891-0328

NPI assigned

Jan 9, 2018

Organization subpart

Yes

Parent organization

CROSSOVER HEALTH MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

Angie Sakioka

Title

Administration

Phone

(949) 891-0328

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Crossover Medical Group89 organizations share this tax ID, including this one

Part of

Crossover Medical Group

Locations

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1831606045",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 S FEDERAL WAY # MS 1-706",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837169632",
            "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": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "SAKIOKA",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "949-891-0328"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laron R Crosland, MD
• Cross Natural Health
• Leticia Cross, LCSW
• Sunday Beth Cross, LMSW
• Jacob Crossley, PHARMD
• Crossroads Health Idaho LLC
• James Alden Crouch, MD
• Miranda J Crouch, MD
• Jennifer M. Crouder, LCPC
• Erin Crow, PT

• Specialist in Boise, ID
• Providers in Boise, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.

Verify at the official NPI Registry.