CROSSOVER HEALTH MEDICAL GROUP
NPI 1053939140
Clinic/Center - Multi-Specialty in Duncanville, TX

Active since July 06, 2020CLIA Certified · 3 labs
215 W CAMP WISDOM RD STE 11, DUNCANVILLE, TX 75116(949) 891-0328 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: September 27, 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 1053939140), doing business as Crossover @ Duncanville, is a healthcare organization registered as a multi-specialty in Duncanville, Texas and active in the NPI registry since July 2020. The organization holds 3 active CLIA laboratory certificates and lists Angie Sakioka, Hr Operations Specialist, as its authorized official.

NPPES Registry Identity

NPI1053939140
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCROSSOVER HEALTH MEDICAL GROUP
Location Address215 W CAMP WISDOM RD STE 11Duncanville, TX 75116-3342
Mailing Address101 W Avenida Vista Hermosa Ste 120San Clemente, CA 92672-7707 · (949) 891-0328
Organization SubpartNo
Authorized OfficialAngie SakiokaHr Operations Specialist · (949) 891-0228
Enumeration DateJuly 6, 2020
NPPES CertifiedJuly 6, 2020
✔ NPI 1053939140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
215 W CAMP WISDOM RD STE 11, Duncanville, TX 75116

Other Names 1

Doing Business AsCrossover @ Duncanville

CLIA Laboratory Certificates CMS CLIA 3

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 05D2343969

Crossover Health Medical Group, Apc · South San Francisco, CA
Active · expires May 13, 2028
CLIA Number05D2343969
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorStephen Ezeji-Okoye
Laboratory Phone(949) 891-0328
Laboratory LocationCrossover Health Medical Group, Apc340 Dna Way, 4th Floor Of Building 34, South San Francisco, CA 94080
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2343971

Crossover Health Medical Group, Apc · Pleasanton, CA
Active · expires May 13, 2028
CLIA Number05D2343971
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorStephen Ezeji-Okoye
Laboratory Phone(949) 891-0328
Laboratory LocationCrossover Health Medical Group, Apc4300 Hacienda Dr, Ste 9012, Pleasanton, CA 94588
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2276818

Crossover Health · Austin, TX
Active · expires Feb 14, 2027
CLIA Number45D2276818
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorStephen Ezeji-Okoye
Laboratory Phone(949) 891-0328
Laboratory LocationCrossover Health720 Brazos St, Ste B700, Austin, TX 78701
CLIA data matches this NPI record on: Name Phone
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.

Nurse Practitioner (Family)
215 W CAMP WISDOM RD STE 11
DUNCANVILLE, TX 75116

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 1053939140. It was assigned to this organization in the NPPES registry on July 6, 2020. The provider is doing business as Crossover @ Duncanville.

Where is Crossover Health Medical Group located?

Crossover Health Medical Group is located at 215 W Camp Wisdom Rd Ste 11, Duncanville, TX 75116. The listed phone number is (949) 891-0328.

What is Crossover Health Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Crossover Health Medical Group hold CLIA laboratory certificates?

Yes. 3 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 July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.