CROSSOVER HEALTH MEDICAL GROUP
NPI 1023553732
Specialist in Cupertino, CA

Active since January 04, 2017CLIA Certified · 31 labs
19500 E. HOMESTEAD RD., CUPERTINO, CA 95014(949) 891-0328(949) 272-0159 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2017, Jan 4, 2017 (2 updates tracked since 2017).

About Crossover Health Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSOVER HEALTH MEDICAL GROUP (NPI 1023553732) is a healthcare organization registered as a specialist in Cupertino, California and active in the NPI registry since January 2017. The organization holds 31 active CLIA laboratory certificates and lists Angie Sakioka, Quality And Compliance Associate, as its authorized official.

NPPES Registry Identity

NPI1023553732
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCROSSOVER HEALTH MEDICAL GROUP
Location Address19500 E. HOMESTEAD RD.Cupertino, CA 95014
Mailing Address101 W Avenida Vista Hermosa, Suite 120San Clemente, CA 92672-7706 · (949) 891-0328 · Fax (949) 272-0159
Fax(949) 272-0159
Organization SubpartNo
Authorized OfficialAngie SakiokaQuality And Compliance Associate · (949) 891-0328
Enumeration DateJanuary 4, 2017
Last NPPES UpdateMay 10, 20172 updates tracked since enumeration
NPI 1023553732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
19500 E. HOMESTEAD RD., Cupertino, CA 95014

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 31

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2064327

Crossover Health · Gloucester, MA
Active · expires Jul 21, 2028
CLIA Number22D2064327
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2026
Certificate Expiration DateJuly 21, 2028
Laboratory DirectorBarry Giglio
Laboratory Phone(949) 891-0328
Laboratory LocationCrossover Health35 Dory Road, Gloucester, MA 01930
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2344476

Crossover Health Medical Group, Apc · Austin, TX
Active · expires May 21, 2028
CLIA Number45D2344476
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorAdam Smith
Laboratory Phone(949) 891-0328
Laboratory LocationCrossover Health Medical Group, Apc6900 W Parmer Ln, Building 09, Ms 578-Fit, Austin, TX 78727
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2268967

Crossover Health Medical Group, Apc Dba Crossover Health · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2268967
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorStephen Ezeji-Okoye
Laboratory Phone(949) 891-0328
Laboratory LocationCrossover Health Medical Group, Apc Dba Crossover Health1101 Dexter Ave N Ste 105, Seattle, WA 98109
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2269220

Crossover Health Medical Group, Apc Dba Crossover Health · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2269220
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorStephen Ezeji-Okoye
Laboratory Phone(949) 891-0328
Laboratory LocationCrossover Health Medical Group, Apc Dba Crossover Health188 106th Ave NE Ste 402, Bellevue, WA 98004
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2345270

Crossover Health Medical Group, Apc Dba Crossover Health · Renton, WA
Active · expires Apr 4, 2028
CLIA Number50D2345270
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorStephen C. Ezeji-Okoye
Laboratory Phone(949) 891-0328
Laboratory LocationCrossover Health Medical Group, Apc Dba Crossover Health1111 Lake Washington Blvd Bldg 3, Renton, WA 98056
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2345447

Crossover Health Medical Group, Apc Dba Crossover Health, Inc · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D2345447
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorStephen C. Ezeji-Okoye
Laboratory Phone(949) 891-0328
Laboratory LocationCrossover Health Medical Group, Apc Dba Crossover Health, Inc808 134th St SW Ste 206, Everett, WA 98204
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crossover Health Medical Group's NPI number?

The NPI number for Crossover Health Medical Group is 1023553732. It was assigned to this organization in the NPPES registry on January 4, 2017.

Where is Crossover Health Medical Group located?

Crossover Health Medical Group is located at 19500 E. Homestead Rd., Cupertino, CA 95014. The listed phone number is (949) 891-0328.

What is Crossover Health Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Crossover Health Medical Group hold CLIA laboratory certificates?

Yes. 31 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Crossover Health Medical Group was last updated on May 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.