NPIMap

Organization Active NPI

Crossroads in Health

  • Nurse Practitioner
  • Newbury Park, CA
National Provider Identifier
1851403513
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NPF7530 Issued in CA
Legal business name
CROSSROADS IN HEALTH
Practice address
558 N Ventu Park Rd
Suite B
Newbury Park, CA 91320-2718
Phone
(805) 480-0499
Fax
(805) 480-0866
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Mrs. Bonni Sue Tromello, CFNPNPI 1639188873
Title
Owner
Phone
(805) 480-0499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X NPF7530 CA Primary

Addresses

Primary practice location

558 N Ventu Park Rd
Suite B
Newbury Park, CA 91320-2718

Mailing address

558 N Ventu Park Rd
Suite B
Newbury Park, CA 91320-2718
Phone (805) 480-0499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070315000516 CA Part B Supplier - Clinic/Group Practice 4688777493 Receives reassigned benefits from 1 practitioner
Practice locations: Newbury Park, CA

National Provider Directory

National Provider Directory

Locations

558 N Ventu Park Rd
Ste B
Newbury Park, CA 91320
Phone (805) 480-0499

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1851403513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 N VENTU PARK RD",
            "address_2": "SUITE B",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202718",
            "telephone_number": "805-480-0499",
            "fax_number": "805-480-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 N VENTU PARK RD",
            "address_2": "SUITE B",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913202718",
            "telephone_number": "805-480-0499",
            "fax_number": "805-480-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS IN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "TROMELLO",
        "authorized_official_first_name": "BONNI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-480-0499",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF7530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.