Active NPI
Crystal Marie Glassy, D.O., M.P.H.
- Family Medicine Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A13347
- Practice address
- 3390 University Ave Ste 100
Riverside, CA 92501-3315 - Phone
- (844) 827-8000
- Fax
- (951) 335-0058
- NPI assigned
- Apr 4, 2012
- Last updated
- Jun 26, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | 20A13347 | CA | |
| Family Medicine Physician | 207Q00000X | 20A13347 | CA | Primary |
Addresses
Primary practice location
3390 University Ave Ste 100
Riverside, CA 92501-3315
Mailing address
3390 University Ave Ste 100
Riverside, CA 92501-3315
Phone (844) 827-8000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3390 University Ave
Suite 100
Riverside, CA 92501-3315
Phone (951) 827-7793
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A13347 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Ucr Health - Psychiatry | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Regents of the University of California | Family Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
1011 Baldwin Park Blvd
Baldwin Park, CA 91706
Phone (626) 851-1011
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
3390 University Ave
Riverside, CA 92501
Phone (951) 447-4697
3390 University Ave
Ste 1
Riverside, CA 92501
Phone (951) 827-7793
3390 University Ave
Ste 100
Riverside, CA 92501
Phone (844) 827-8000
1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UCR Health
- Family Medicine Physician
- Riverside, CA
- NPI 1811255060
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
dba Target Clinic Medical Associates of Southern California
- Health Maintenance Organization
- Rosemead, CA
- NPI 1942787114
-
dba St. Bernardine Medical Center
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1972869816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 UNIVERSITY AVE STE 100",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013315",
"telephone_number": "844-827-8000",
"fax_number": "951-335-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 UNIVERSITY AVE STE 100",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013315",
"telephone_number": "844-827-8000",
"fax_number": "951-335-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASSY",
"first_name": "CRYSTAL",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-04",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "",
"desc": "Integrative Medicine",
"state": "CA",
"license": "20A13347",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A13347",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1011 Baldwin Park Blvd",
"city": "Baldwin Park",
"state": "CA",
"country_code": "US",
"postal_code": "917065806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.