Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679077721 Individual Practitioner Female Practitioner

Dr. Crystal T Deedas , MD

Pediatrics • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Dr. Crystal Deedas, MD is a registered healthcare professional specializing in Pediatrics in Riverside, CA. Practice services are available at 10800 MAGNOLIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10800 Magnolia Ave

Riverside, CA 925053043

Telephone 9513533005
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
91 Specialists

Practicing in Riverside, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License 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.

Secondary Practice Locations

757 Westwood Plz, 951752, 3108 Rrumc

Los Angeles, CA 900951752

Phone: 3108254128

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Patrick Mc Gill , PA

Physician Assistant

NPI 1003964958

Physician Assistant

NPI 1003975665

Doctor of Medicine (M.D.)

Dr. Richard Bradburne , MD

Internal Medicine - Critical Care Medicine

NPI 1003983925

Doctor of Medicine (M.D.)

Dr. Sung John , MD

Family Medicine

NPI 1013065085

Doctor of Medicine (M.D.)

Dr. Shelly Thio , MD

Internal Medicine

NPI 1013076637

Doctor of Medicine (M.D.)

Dr. Gregory Marrujo , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1013076686

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

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

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location June 17, 2021

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

📍
Updated Business Mailing Address June 17, 2021

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

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

Pediatrics (License #A164704 in CA)

NPI Profile Active March 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2018

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

📍
Updated Business Mailing Address March 22, 2018

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

👤
Provider Name / Credentials Updated March 22, 2018

Recorded as CRYSTAL DEEDAS, MD

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

10800 Magnolia Ave

Riverside, CA 925053043

Phone: 9513533005

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.