Crystal Nicole Pruitt, MD - Medicare Obstetrics/gynecology in Loma Linda, CA

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Crystal Nicole Pruitt, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Loma Linda, California. She went to Mayo Medical School and graduated in 2014 and has 11 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Faculty Physicians And Surgeons Of Llusm and her current practice location is 11370 Anderson St Ste 3900, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-2806.

Crystal Nicole Pruitt is licensed to practice in California (license number A143165) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215357793.

Contact Information

Crystal Nicole Pruitt, MD
11370 Anderson St Ste 3900,
Loma Linda, CA 92354-3450
(909) 558-2806
Not Available

Map and Direction




Physician's Profile

Full NameCrystal Nicole Pruitt
GenderFemale
SpecialityObstetrics/gynecology
Experience11 Years
Location11370 Anderson St Ste 3900, Loma Linda, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Crystal Nicole Pruitt attended and graduated from Mayo Medical School in 2014
  NPI Data:
  • NPI Number: 1215357793
  • Provider Enumeration Date: 04/23/2014
  • Last Update Date: 07/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9830449453
  • Enrollment ID: I20180831001555

Medical Identifiers

Medical identifiers for Crystal Nicole Pruitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215357793NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology A143165 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Faculty Physicians And Surgeons Of Llusm11532278141153

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Crystal Nicole Pruitt allows following entities to bill medicare on her behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameObhg California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215258892
PECOS PAC ID: 8729276795
Enrollment ID: O20101217000826
Entity NameSan Gorgonio Memorial Health Care District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194243642
PECOS PAC ID: 0749556793
Enrollment ID: O20171019001354

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Nicole Pruitt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crystal Nicole Pruitt, MD
11370 Anderson St Ste 3900,
Loma Linda, CA 92354-3450

Ph: (909) 558-2806		Crystal Nicole Pruitt, MD
11370 Anderson St Ste 3900,
Loma Linda, CA 92354-3450

Ph: (909) 558-2806

Reviews and Comments


Obstetrics & Gynecology Doctors in Loma Linda, CA

Samira Monavvari, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Ms. Kristiina Carol Miller, M.D
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 11370 Anderson St Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Danielle C.a. Sawyer-macknet, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 25805 Barton Rd, Suite 107, Loma Linda, CA 92354
Phone: 909-478-7700    Fax: 909-478-7705
Dr. Tiare Nicole Evans, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 11370 Anderson St Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Kevin C Balli, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Juthamas Kositsawat,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St, Loma Linda, CA 92354
Phone: 909-558-2806    
Hermina Salvador, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.