Crestline Medical Group PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CRESTLINE MEDICAL GROUP PC

Practice address

325 S 1St St Ste 200
San Jose, CA 95113-2835

Phone

(415) 839-7564

NPI assigned

Mar 6, 2026

Last updated

Jun 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Snipes, MD

Title

Owner

Phone

(213) 827-3038

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1861348351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S 1ST ST STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951132835",
            "telephone_number": "415-839-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S 1ST ST STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951132835",
            "telephone_number": "415-839-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTLINE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "SNIPES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-827-3038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Crayford
• Craig Norman Creasman, M.D.
• Michael Scott Creekpaum, PHD
• Danielle Angelique Creer
• Crest Optometry, Inc
• Crestpoint Medical LLC
• Crestwood Behavioral Health, Inc (Crestwood Behavioral Health Center)
• Crestwood Behavioral Health, Inc. (Crestwood Psychiatric Health Facility-San Jose)
• Crestwood Behavioral Health, Inc. (Crestwood Center)
• Robert Leanard Creth, P.T.

• Psychiatry Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.