CROWNVIEW MEDICAL GROUP, INC
NPI 1598928798
Psychiatry & Neurology - Psychiatry in Coronado, CA

Active since July 08, 2008CLIA 05D2065695 · Waiver
158 C AVE, CORONADO, CA 92118(619) 435-5400(619) 435-5401 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Crownview Medical Group, Inc NPPES

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

CROWNVIEW MEDICAL GROUP, INC (NPI 1598928798) is a healthcare organization registered as a psychiatry in Coronado, California and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Mark Melden, Owner, as its authorized official.

NPPES Registry Identity

NPI1598928798
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCROWNVIEW MEDICAL GROUP, INC
Location Address158 C AVECoronado, CA 92118-1420
Mailing Address158 C AveCoronado, CA 92118-1420 · (619) 435-5400 · Fax (619) 435-5401
Fax(619) 435-5401
Organization SubpartNo
Authorized OfficialMark MeldenOwner · (619) 435-5400
Enumeration DateJuly 8, 2008
Last NPPES UpdateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1598928798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
158 C AVE, Coronado, CA 92118

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crownview Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Crownview Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner9
Psychiatry2
Clinical Psychologist1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1497584239
158 C AVE
Coronado, CA 92118
(619) 435-5400
✔ PECOSSame address
Nurse Practitioner
NPI 1033424494
158 C AVE
Coronado, CA 92118
(619) 435-5400
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1063238632
158 C AVE
Coronado, CA 92118
(619) 435-5400
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1063106805
158 C AVE
Coronado, CA 92118
(619) 435-5400
✔ PECOS1.2 mi
Clinical Psychologist
NPI 1609140003
1403 1ST. STREET
Coronado, CA 92118
(619) 948-2912
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1376321653
3250 FORDHAM ST
San Diego, CA 92110
(833) 574-2273
✔ PECOS4.2 mi
Nurse Practitioner
NPI 1952018392
3491 KURTZ ST STE 150
San Diego, CA 92110
(619) 320-2404
✔ PECOS4.5 mi
Nurse Practitioner
NPI 1316581812
140 ARBOR DR
San Diego, CA 92103
(619) 543-6047
✔ PECOS4.6 mi
Psychiatry
NPI 1467428268
158 C AVE
Coronado, CA 92118
(619) 435-5400
✔ PECOS5.3 mi
Psychiatry
NPI 1982653135
158 C AVE
Coronado, CA 92118
(619) 435-5400
✔ PECOS5.3 mi
Nurse Practitioner
NPI 1700171436
5755 OBERLIN DR STE 100
San Diego, CA 92121
(858) 630-3455
✔ PECOS14 mi
Nurse Practitioner
NPI 1043777147
1751 E GARRY AVE
Santa Ana, CA 92705
(877) 896-7350
✔ PECOS80 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D2065695

Crownview Medical Group Inc · Coronado, CA
Active · expires Sep 11, 2027
CLIA Number05D2065695
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorMark Melden
Laboratory Phone(619) 435-5400
Laboratory LocationCrownview Medical Group Inc158 C Ave, Coronado, CA 92118
CLIA data matches this NPI record on: Address 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 Crownview Medical Group, Inc's NPI number?

The NPI number for Crownview Medical Group, Inc is 1598928798. It was assigned to this organization in the NPPES registry on July 8, 2008.

Where is Crownview Medical Group, Inc located?

Crownview Medical Group, Inc is located at 158 C Ave, Coronado, CA 92118. The listed phone number is (619) 435-5400.

What is Crownview Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Crownview Medical Group, Inc enrolled in Medicare?

Yes. Crownview Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crownview Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Crownview Medical Group, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Psychiatry (2) and Clinical Psychologist (1). Of these, 1 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Crownview Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2065695) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crownview Medical Group, Inc was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.