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Croix Fossum, M.D.

in San Diego, CA. Individual provider (NPI-1).

NPI number1104351006
StatusActive
Last updated in NPPESFeb 18, 2026

Details

NPI
1104351006
Entity type
Individual (NPI-1)
Name
Croix Fossum
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 28, 2017
Certification date
Feb 18, 2026
Last updated
Feb 18, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - RADIATION ONCOLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X A159160CAYes

Practice location

7901 Frost St
San Diego, CA 92123-2701

Phone 858-939-5010 · Fax 858-939-5021

Mailing address

Po Box 509015
Dept 338
San Diego, CA 92150-9015

Other practice locations

5555 Grossmont Center Dr
La Mesa, CA 91942-3019

Phone 619-740-4500 · Fax 619-740-8499

769 Medical Center Ct
Chula Vista, CA 91911-6602

Phone 619-502-5851 · Fax 619-502-5865

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