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CROSSOVER HEALTH MEDICAL GROUP
NPI 1043555212
Specialist in Santa Clara, CA

Active since November 29, 2012CLIA 05D2111082 · Waiver
3050 BOWERS AVE, SANTA CLARA, CA 95054(949) 891-0328 Get Directions Write a Review

NPPES record last updated: May 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crossover Health Medical Group NPPES

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

CROSSOVER HEALTH MEDICAL GROUP (NPI 1043555212) is a healthcare organization registered as a specialist in Santa Clara, California and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Richard Patragnoni, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1043555212
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCROSSOVER HEALTH MEDICAL GROUP
Location Address3050 BOWERS AVESanta Clara, CA 95054-3201
Mailing Address101 W Avenida Vista Hermosa, Suite 120San Clemente, CA 92672-7706 · (949) 891-0328
Phone(949) 891-0328
Organization SubpartNo
Authorized OfficialRichard PatragnoniMedical Director · (949) 891-0328
Enumeration DateNovember 29, 2012
Last NPPES UpdateMay 10, 2017
✔ NPI 1043555212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A62815
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.
3050 BOWERS AVE, Santa Clara, CA 95054
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 05D2111082

Crossover Health Medical Group Apc · Santa Clara, CA
Active · expires Sep 30, 2026
CLIA Number05D2111082
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Stephen Ezeji-Okoye
Laboratory Phone(408) 708-0204
Laboratory LocationCrossover Health Medical Group Apc2371 Owen St, Santa Clara, CA 95054
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARYBETH IBARRIENTOS
Registered Nurse
3050 BOWERS AVE
SANTA CLARA, CA 95054
Santa Clara County (408) 986-7777
DR. ANAND SINGH M.D.
Family Medicine (Adult Medicine)
3050 BOWERS AVE, BUILDING 1
SANTA CLARA, CA 95054
Santa Clara County (510) 316-6805

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 1043555212. It was assigned to this organization in the NPPES registry on November 29, 2012.

Where is Crossover Health Medical Group located?

Crossover Health Medical Group is located at 3050 Bowers Ave, Santa Clara, CA 95054. 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2111082) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crossover Health Medical Group accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Crossover Health Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.