CROSSOVER HEALTH MEDICAL GROUP
NPI 1053260380
Specialist in Moreno Valley, CA

Active since January 28, 2026CLIA 05D2198729 · Waiver
14329 FREDERICK ST, MORENO VALLEY, CA 92553(866) 271-3589 Get Directions Write a Review

NPPES record last updated: January 28, 2026. 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 1053260380) is a healthcare organization registered as a specialist in Moreno Valley, California and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists Jenette Hunter, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1053260380
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCROSSOVER HEALTH MEDICAL GROUP
Location Address14329 FREDERICK STMoreno Valley, CA 92553-9003
Mailing Address14329 Frederick StMoreno Valley, CA 92553-9003 · (866) 271-3589
Organization SubpartNo
Authorized OfficialJenette HunterCredentialing Manager · (971) 500-2661
Enumeration DateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
NPI 1053260380 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.
14329 FREDERICK ST, Moreno Valley, CA 92553

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

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 05D2198729

Crossover Health Medical Group, Apc · Moreno Valley, CA
Active · expires Nov 3, 2026
CLIA Number05D2198729
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorCarolyn Senger
Laboratory Phone(650) 521-5440
Laboratory LocationCrossover Health Medical Group, Apc14329 Frederick St, Moreno Valley, CA 92553
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Dietitian, Registered
14329 FREDERICK ST
MORENO VALLEY, CA 92553

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 1053260380. It was assigned to this organization in the NPPES registry on January 28, 2026.

Where is Crossover Health Medical Group located?

Crossover Health Medical Group is located at 14329 Frederick St, Moreno Valley, CA 92553. The listed phone number is (866) 271-3589.

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 05D2198729) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crossover Health Medical Group was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.