1. Home
  2. Directory
  3. California
  4. Coronado
  5. Psychiatry Neurology
  6. NPI Profile

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: August 02, 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
Phone(619) 435-5400
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
Open in Google Maps ↗

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 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.

Other Providers at the Same Location NPPES 9

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

MARK MELDEN, DO
Psychiatry & Neurology (Psychiatry)
158 C AVE
CORONADO, CA 92118
San Diego County (619) 435-5400
JONATHAN DE LEON NP
Nurse Practitioner (Psychiatric/Mental Health)
158 C AVE
CORONADO, CA 92118
San Diego County (619) 435-5400
MS. MYRIAME MIA NICOLAS NP
Nurse Practitioner (Psychiatric/Mental Health)
158 C AVE
CORONADO, CA 92118
San Diego County (619) 435-5400
HEATHER D HUITEMA RN
Nurse Practitioner (Psychiatric/Mental Health)
158 C AVE
CORONADO, CA 92118
San Diego County (619) 435-5400
DR. KRISTINA MARIE LEE MIHOLICH PSYD
Psychologist (Clinical)
158 C AVE
CORONADO, CA 92118
San Diego County (619) 435-5400
ANNE L COX M.D.
Psychiatry & Neurology (Psychiatry)
158 C AVE
CORONADO, CA 92118
San Diego County (619) 435-5400
CHARLIE R PEREZ PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
158 C AVE
CORONADO, CA 92118
San Diego County (619) 435-5400
DR. JORGE PORRAS M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
158 C AVE
CORONADO, CA 92118
San Diego County (619) 435-5400

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.

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.