Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crossroads Medical Center

Organization Family Medicine Physician · NPI 1164048161

Crossroads Medical Center is a Family Medicine Physician in Boulder, Colorado. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2760 29th St Ste 2B
Boulder, CO 80301-1221
Phone: (303) 444-6400
Fax: (303) 444-6465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1164048161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Jasilli — Practice Owner · (303) 444-6400
Other names Crossroads Medical Center Llc; Carl A Mortiz Jr Mbr; Carl A Mortiz Jr Mbr
NPI enumeratedJune 25, 2020
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address2760 29th St Ste 2b, Boulder, CO 80301-1221

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