ALFONSO CRUZ MANUEL (NPI# 1124563358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124563358 |
| Entity Type | Individual |
| Full Name | ALFONSO CRUZ MANUEL |
| Practice Address |
7653 Coldwater Canyon Ct North Hollywood CA 91605-2048 |
| Practice Telephone | 8182007062 |
| Mailing Telephone | 8182007062 |
| Enumeration Date | 2016-12-25 |
| Last Update Date | 2016-12-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95005711 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NP FURNISHING NUMBER | 95005711 | 01 |
| Street Address |
7653 COLDWATER CANYON CT |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91605-2048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558992982 | Dr Fuscaldos Health and Wellness Center Inc | Clinic/Center | 7537 Laurel Canyon Blvd, North Hollywood, CA 91605 | 2020-02-04 |
| 1588191274 | Concord Home Health Care | Home Health | 6824 Radford Ave, Suite 1, North Hollywood, CA 91605 | 2017-05-12 |
| 1487102935 | Crystal Medical Transportation,inc | Non-emergency Medical Transport (VAN) | 8001 Laurel Canyon Blvd Ste 101, N Hollywood, CA 91605 | 2016-09-13 |
| 1891248050 | Teesdale Villa, Inc. | Assisted Living Facility | 7663 Teesdale Avenue, North Hollywood, CA 91605 | 2016-07-25 |
| 1487011623 | Sandra Gutierrez | Counselor | 8330 Lankershim Blvd, North Hollywood, CA 91605 | 2016-01-19 |
| 1104219849 | Next Door Home Care, Inc. | Home Health | 6829 Lankershim Blvd., #12, North Hollywood, CA 91605 | 2015-03-05 |
| 1427458033 | Normandy Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 12914-b Sherman Way, North Hollywood, CA 91605 | 2014-09-02 |
| 1285048645 | Armcare Hospice, Inc. | Hospice Care, Community Based | 7253 Ethel Ave, North Hollywood, CA 91605 | 2014-06-13 |
| 1306183660 | Shadi Rezai | Obstetrics & Gynecology | Valley Community Healthcare, 6801 Coldwater Canyon Avenue, North Hollywood, CA 91605 | 2013-01-07 |
| 1700171139 | Sachiyo Shiraki | Marriage & Family Therapist | 754 Vanscoy Ave., North Hollywood, CA 91605 | 2011-06-14 |
| Find all providers in zip 91605 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568995157 | Patricia Rojas De La Paz | Nurse Practitioner | 7729 Teesdale Ave, North Hollywood, CA 91605-2150 | 2017-04-10 |
| 1447389895 | Guadalupe Robles Misquez | Nurse Practitioner | 8065 Webb Ave Ste A, North Hollywood, CA 91605-1505 | 2007-03-03 |
| 1841899705 | Gianina Blanca Beltran | Nurse Practitioner | 7451 Lankershim Blvd, North Hollywood, CA 91605-2803 | 2020-10-21 |
| 1558695791 | Eva Bedford-oppong | Nurse Practitioner | 6801 Coldwater Canyon Ave, North Hollywood, CA 91605-5162 | 2009-09-21 |
| 1619975158 | Lakeside Medical Associates, A Medical Group, Inc. | Nurse Practitioner | 12660 Riverside Dr, Suite 310/320, North Hollywood, CA 91607-3429 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528817 | Gemekia Latrisha Morales | Nurse Practitioner | 1800 N. California, Stockton, CA 95952 | 2020-11-08 |
| 1447851324 | Anna Patricia Torres | Nurse Practitioner | 1158 Santa Lucia Dr, Pittsburg, CA 94565-7615 | 2020-11-05 |
| 1447851647 | Melanie Ganotisi | Nurse Practitioner | 11541 Blucher Ave Unit 125, Granada Hills, CA 91344-4362 | 2020-11-04 |
| 1659971729 | Raquel Y Mccarthy | Nurse Practitioner | 334 Via Vera Cruz Ste 257, San Marcos, CA 92078-2643 | 2020-10-28 |
| 1689274607 | Aleksandra Zaitseva | Nurse Practitioner | 6850 Sepulveda Blvd Ste 215, Van Nuys, CA 91405-4450 | 2020-10-28 |
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91605 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.