CRYSTAL T DEEDAS MD
NPI 1679077721
Pediatrics in Riverside, CA
About Crystal T Deedas Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL T DEEDAS MD (NPI 1679077721) is an individual pediatrics provider in Riverside, California, licensed in California (A164704) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crystal T Deedas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Crystal Deedas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
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 Crystal Deedas's NPI number?
The NPI number for Crystal Deedas is 1679077721. It was assigned to this individual provider in the NPPES registry on March 22, 2018.
Where is Crystal Deedas located?
Crystal Deedas practices at 10800 Magnolia Ave, Riverside, CA 92505. The listed phone number is (951) 353-3005.
What is Crystal Deedas's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Crystal Deedas enrolled in Medicare?
Yes. Crystal Deedas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Crystal Deedas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Deedas reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, CA). The 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 Crystal Deedas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Crystal Deedas was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Crystal T Deedas, MD · NPI 1679077721
Pediatrics physician in Riverside, California. Individual provider, active in the CMS NPPES registry since March 22, 2018.
## Identity
- **NPI:** 1679077721 (Entity type: Individual)
- **Enumerated:** March 22, 2018
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A164704 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10800 MAGNOLIA AVE, Riverside, CA 92505-3043
- **Phone:** (951) 353-3005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1316979834, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1679077721) · Data from the CMS NPPES public registry.