CROSSOVER HEALTH MEDICAL GROUP (NPI# 1245773548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245773548 |
| Entity Type | Organization |
| Organization Name | CROSSOVER HEALTH MEDICAL GROUP |
| Practice Address |
145 Nicholson Ln San Jose CA 95134-1359 |
| Mailing Address |
101 W Avenida Vista Hermosa Suite 120 San Clemente CA 92672-7706 |
| Practice Telephone | 9498910328 |
| Mailing Telephone | 9498910238 |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | ANGIE SAKIOKA (QUALITY AND COMPLIANCE ASSOCIATE) |
| Authorized Official Telephone | 9498910328 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1184231037 | Crossover Health Medical Group | Clinic/Center | 434 Patrol Rd, Jeffersonville, IN 47130-7754 | 2020-09-24 |
| 1982211835 | Crossover Health Medical Group | Clinic/Center | 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 | 2020-09-24 |
| 1619584570 | Crossover Health Medical Group | Clinic/Center | 19901 Dix Toledo Hwy, Brownstown Twp, MI 48183-1039 | 2020-09-24 |
| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1992312847 | Crossover Health Medical Group | Clinic/Center | 544 Conestoga Pkwy Ste 3, Shepherdsville, KY 40165-5676 | 2020-09-24 |
| 1639786585 | Crossover Health Medical Group | Clinic/Center | 1847 E Southern Ave Ste 3, Tempe, AZ 85282-5881 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1821605775 | Crossover Health Medical Group | Clinic/Center | 5251 W Campbell Ave Ste 200, Phoenix, AZ 85031-1719 | 2020-09-24 |
| 1649887597 | Crossover Health Medical Group | Clinic/Center | 8343 W Van Buren St Bldg C-2, Tolleson, AZ 85353-3225 | 2020-09-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | CROSSOVER HEALTH MEDICAL GROUP, APC | 101 W Avenida Vista Hermosa, San Clemente, CA 92672-7706 |
| New York State Corporations | CROSSOVER HEALTH MEDICAL GROUP, APC | 99 Washington Avenue, Suite 1008, Albany, New York 12260 |
| Massachusetts Corporations | CROSSOVER HEALTH MEDICAL GROUP, APC | 65 Enterprise, Alisa Viejo, CA 92656 |
| Colorado Business Entities | CROSSOVER HEALTH MEDICAL GROUP, APC | 101 West Avenida Vista Hermosa, Suite 120, San Clemente, CA 92672 |
| Street Address |
145 NICHOLSON LN |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95134-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972938801 | Claudine Lott | Family Medicine | 145 Nicholson Ln, San Jose, CA 95134 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013433945 | Jessica Roberson | Speech-Language Pathologist | 330 Crescent Village Circle, San Jose, CA 95134 | 2017-08-22 |
| 1407221948 | Bay Area Behavioral Group | Community/Behavioral Health | 4423 Fortran Court, #136, San Jose, CA 95134 | 2015-12-09 |
| 1891114500 | Adriane Jones | Occupational Therapist | 640 Epic Way, Apartment #271, San Jose, CA 95134 | 2014-04-09 |
| 1255758165 | Adam Moreno | Counselor | 2625 Zanker Rd., San Jose, CA 95134 | 2014-03-28 |
| 1659611556 | 360 Degree Customer Inc | Early Intervention Provider Agency | 4423 Fortran Drive, # 114, San Jose, CA 95134 | 2013-03-01 |
| 1629392022 | Harrison James Kornfield | Surgery | 455 Navaro Way, #108, San Jose, CA 95134 | 2010-03-15 |
| 1538348008 | Roxanne F Ubana | Counselor | 4423 Fortran Ct Ste 136, San Jose, CA 95134 | 2007-10-31 |
| 1538351044 | William Lopez Robles | Counselor | 2625 Zanker Road, San Jose, CA 95134 | 2007-08-17 |
| 1881717296 | Chloe Chu | Dentist | 3720 N. First Street, Suite C, San Jose, CA 95134 | 2007-04-09 |
| 1700878154 | Catholic Charities of Santa Clara County | Voluntary or Charitable | 2625 Zanker Rd, San Jose, CA 95134 | 2005-08-19 |
| Find all providers in zip 95134 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467965293 | Kathleen Dawn Kraskouskas | Specialist | 541 W Julian St, San Jose, CA 95110-2338 | 2017-11-15 |
| 1861927568 | Crossover Health Medical Group | Specialist | 5601 Great Oaks Pkwy, Bldg 050, San Jose, CA 95119-1003 | 2017-05-01 |
| 1629503255 | Professional Medical Claims Services | Specialist | 5646 Bluegrass Ln, San Jose, CA 95118-3513 | 2017-04-20 |
| 1669873204 | Wendy Ann Brotherton | Specialist | 1401 Parkmoor Ave Ste 230, San Jose, CA 95126-3407 | 2014-09-15 |
| 1225467756 | Ir Solutions Inc | Specialist | 105 N Bascom Ave Ste 104, San Jose, CA 95128-1811 | 2013-11-05 |
| 1558793653 | Angela Dawn Ballou | Specialist | 1052 Delna Manor Ln, San Jose, CA 95128-3457 | 2013-07-31 |
| 1295089670 | Huong Yen Duong | Specialist | 184 Checkers Dr, San Jose, CA 95116-1359 | 2012-11-06 |
| 1407116213 | Cherie Jones | Specialist | 2555 Corde Terra Cir, #331, San Jose, CA 95111-1955 | 2012-05-25 |
| 1215294129 | Nguyen Tan | Specialist | 110 Jackson St, San Jose, CA 95112-5105 | 2012-04-16 |
| 1447522602 | Daniela Bayer | Specialist | 560 S Winchester Blvd, Suite 500, San Jose, CA 95128-2560 | 2012-02-03 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on CROSSOVER HEALTH MEDICAL GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.