CROSSOVER HEALTH MEDICAL GROUP
NPI 1811273345
Specialist in Elk Grove, CA

Active since October 28, 2011CLIA 05D2033270 · Waiver
2511 LAGUNA BLVD, MS 217 - FIT, ELK GROVE, CA 95758(949) 891-0328 Get Directions Write a Review

NPPES record last updated: October 7, 2016. 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 1811273345) is a healthcare organization registered as a specialist in Elk Grove, California and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Scott Lyman Shreeve, Owner Ceo, as its authorized official.

NPPES Registry Identity

NPI1811273345
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCROSSOVER HEALTH MEDICAL GROUP
Location Address2511 LAGUNA BLVD, MS 217 - FITElk Grove, CA 95758-7421
Mailing Address15 Enterprise, #330Aliso Viejo, CA 92656-2652 · (949) 891-0328
Organization SubpartNo
Authorized OfficialScott Lyman ShreeveOwner Ceo · (949) 891-0328
Enumeration DateOctober 28, 2011
Last NPPES UpdateOctober 7, 2016
NPI 1811273345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A74386
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.
2511 LAGUNA BLVD, Elk Grove, CA 95758

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 05D2033270

Crossover Health Medical Group, Apc · Elk Grove, CA
Active · expires Nov 12, 2027
CLIA Number05D2033270
Laboratory TypePhysician Office
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorStephen Ezeji-Okoye
Laboratory Phone(916) 399-5261
Laboratory LocationCrossover Health Medical Group, Apc2511 Laguna Blvd, Elk Grove, CA 95758
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.

Registered Nurse (General Practice)
2511 LAGUNA BLVD
ELK GROVE, CA 95758

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 1811273345. It was assigned to this organization in the NPPES registry on October 28, 2011.

Where is Crossover Health Medical Group located?

Crossover Health Medical Group is located at 2511 Laguna Blvd Ms 217 - Fit, Elk Grove, CA 95758. The listed phone number is (949) 891-0328.

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 05D2033270) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crossover Health Medical Group accept?

Health plans from Medica list Crossover Health Medical Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crossover Health Medical Group was last updated on October 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.