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Dr. Crystal T Deedas , MD

Pediatrics β€’ Riverside, CA

Active NPI 1679077721 Individual Practitioner Female Practitioner
Practice location in NPPES

10800 Magnolia Ave
Riverside, CA 925053043

Call 9513533005 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10800 Magnolia Ave

Riverside, CA 925053043

Telephone 9513533005
Organization at the Same NPPES Address or Phone
Southern California Permanente Medical Group Facility NPI 1316979834

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Los Angeles, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Deedas has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Deedas as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Riverside and California

89 active clinicians are listed under Pediatrics with a practice address in Riverside, CA (9,280 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Riverside

0% of these 89 clinicians have the CMS telehealth indicator.

4.5% of these 89 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CA A164704

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20211013002132

Enrollment State Jurisdiction

CA

PECOS Control ID

6204234743

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

757 Westwood Plz, 951752, 3108 Rrumc

Los Angeles, CA 900951752

Phone: 3108254128

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1972123891

Doctor of Medicine (M.D.)

Kimberly Adams , PA-C

Physician Assistant - Medical

NPI 1053522870

Physician Assistant (Certified)

Kathreen Ahn

Student in an Organized Health Care Education/Training Program

NPI 1962933838
Dr. Myra Ali , MD

Student in an Organized Health Care Education/Training Program

NPI 1457036782

Doctor of Medicine (M.D.)

NPI 1851850978

Doctor of Osteopathic Medicine (D.O.)

Dr. Vinod Ambastha , MD

Internal Medicine - Pulmonary Disease

NPI 1467511170

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2021

Student in an Organized Health Care Education/Training Program

πŸ“
Updated Practice Location June 17, 2021

Registered at 10800 MAGNOLIA AVE, RIVERSIDE, CA 925053043 (Tel: 9513533005)

πŸ“
Updated Business Mailing Address June 17, 2021

Registered at 10800 MAGNOLIA AVE, RIVERSIDE, CA 925053043 (Tel: 9513533005)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2021

Pediatrics (license number reported to NPPES: CA A164704)

βœ…
NPI Profile Active March 22, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 22, 2018

Registered at 757 WESTWOOD PLZ, 951752, 3108 RRUMC, LOS ANGELES, CA 900951752 (Tel: 3108254128)

πŸ“
Business Mailing Address (Initial Record) March 22, 2018

Registered at 757 WESTWOOD PLAZA BOX 951752, 3108 RRUMC, LOS ANGELES, CA 900951752 (Tel: 3108254128)

πŸ‘€
Provider Name / Credentials (Initial Record) March 22, 2018

Recorded as CRYSTAL DEEDAS, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2018

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 22, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679077721
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2018
Last Update: December 06, 2021
Sole Proprietor: No

Other Pediatrics Specialists in Riverside

All Pediatrics Specialists in Riverside

Mailing Address

10800 Magnolia Ave

Riverside, CA 925053043

Phone: 9513533005

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.