CROSSOVER HEALTH MEDICAL GROUP
NPI 1811273345
Specialist in Elk Grove, CA
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 05D2033270
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-12-2027
About CROSSOVER HEALTH MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Crossover Health Medical Group, a provider established in Elk Grove, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1811273345 assigned on October 2011. The practitioner's primary taxonomy code is 174400000X with license number A74386 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Scott Lyman Shreeve M.d. (Owner Ceo)
- NPI
- 1811273345 Verify this NPI
- Provider Name
- CROSSOVER HEALTH MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 2511 LAGUNA BLVD MS 217 - FIT ELK GROVE, CA 95758
- Location Phone
- (949) 891-0328
- Mailing Address
- 15 ENTERPRISE #330 ALISO VIEJO, CA 92656
- Mailing Phone
- (949) 891-0328
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-28-2011
- Last Update Date
- 10-07-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- A74386
- License State
- CA
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold Share - EPO
- Balance by Medica Gold Standard - EPO
- Balance by Medica Silver $0 Copay PCP Visits - EPO
- Balance by Medica Silver Share - EPO
- Balance by Medica Silver Standard - EPO
- Medica with MU Health Care Bronze $0 Copay PCP Visits - EPO
- Medica with MU Health Care Bronze Premier - EPO
- Medica with MU Health Care Expanded Bronze Standard - EPO
- Medica with MU Health Care Gold $0 Copay PCP Visits - EPO
- Medica with MU Health Care Gold Share - EPO
- Medica with MU Health Care Gold Standard - EPO
- Medica with MU Health Care Silver $0 Copay PCP Visits - EPO
- Medica with MU Health Care Silver Share - EPO
- Medica with MU Health Care Silver Standard - EPO
- Select by Medica Bronze $0 Copay PCP Visits - EPO
- Select by Medica Bronze Share - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2033270
- Facility Type
- Physician Office
- Certificate Effective Date
- November 13, 2025
- Certificate Expiration Date
- November 12, 2027
- Laboratory Director
- STEPHEN EZEJI-OKOYE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Crossover Health Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811273345, enumerated as an "organization" on October 28, 2011.
The provider is located at 2511 LAGUNA BLVD MS 217 - FIT ELK GROVE, CA 95758 and the phone number is (949) 891-0328.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
