Individual provider Active NPI

German E Crisol, M.D.

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1952333650
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A-68389 Issued in CA
Practice address
6485 Day St Ste 202
Riverside, CA 92507-0931
Phone
(951) 653-3500
Fax
(951) 653-3330
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A-68389 CA Primary

Addresses

Primary practice location

6485 Day St Ste 202
Riverside, CA 92507-0931

Mailing address

6485 Day St Ste 202
Riverside, CA 92507-0931
Phone (951) 653-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000623 CA Practitioner - Family Practice 0345219879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6485 Day St
Suite 202
Riverside, CA 92507-0931
Phone (951) 653-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A-68389CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
German E Crisol MD Inc Family Medicine CurrentSince May 21, 2004 Accepting new patients

Locations

6485 Day St
Ste 202
Riverside, CA 92507
Phone (951) 653-3500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1952333650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 DAY ST STE 202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070931",
            "telephone_number": "951-653-3500",
            "fax_number": "951-653-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 DAY ST STE 202",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070931",
            "telephone_number": "951-653-3500",
            "fax_number": "951-653-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISOL",
        "first_name": "GERMAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A-68389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.