EDGAR IVAN CRUZ (NPI# 1205442175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205442175 |
| Entity Type | Individual |
| Full Name | EDGAR IVAN CRUZ |
| Practice Address |
500 Allerton St Redwood City CA 94063-1519 |
| Practice Telephone | 6505999955 |
| Mailing Telephone | 6505999955 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578662581 | Edgar Cruz | Family Medicine | 1725 E Hwy 50, Suite A, Clermont, FL 34711-5188 | 2006-09-22 |
| 1619435559 | Edgar Cruz | Student in an Organized Health Care Education/Training Program | 8900 Van Wyck Expy, Jamaica, NY 11418-2897 | 2019-03-11 |
| 1992958912 | Edgar Cruz | Pharmacist | 680 N Federal Hwy, Fort Lauderdale, FL 33304-4687 | 2008-11-04 |
| Street Address |
500 ALLERTON ST |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94063-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659587533 | Karina Gabriela Sapag | Marriage & Family Therapist | 500 Allerton St, Suite 102, Redwood City, CA 94063-1519 | 2007-05-15 |
| 1205433166 | Pamela Marie Lococo | Counselor | 500 Allerton St, Redwood City, CA 94063-1519 | 2020-10-05 |
| 1760943021 | Michelle Thanh Stanton White | Marriage & Family Therapist | 500 Allerton St, Ste 102, Redwood City, CA 94063-1545 | 2019-03-28 |
| 1316407851 | Jenna Brooke Cowen | Counselor | 500 Allerton St, Redwood City, CA 94063-1519 | 2019-03-21 |
| 1376001248 | Martha Maldonado-clark | Counselor | 500 Allerton St, Redwood City, CA 94063 | 2019-03-08 |
| 1255896411 | Laura Marie Barsocchini | Counselor | 500 Allerton St, Redwood City, CA 94063-1519 | 2019-02-01 |
| 1104301209 | Kate Iris Estkowski | Counselor | 500 Allerton St, Redwood City, CA 94063-1519 | 2018-09-25 |
| 1215456876 | Nicole Tauscher | Counselor | 500 Allerton St, Redwood City, CA 94063-1519 | 2017-09-14 |
| 1285168682 | Luis Valdivias | Case Management | 500 Allerton St, Redwood City, CA 94063-1519 | 2017-04-12 |
| 1225579899 | Michael Wallace | Counselor | 500 Allerton St, Second Floor, Redwood City, CA 94063-1519 | 2017-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578104378 | Jade Francetich | Psychologist | 450 Broadway St., Pavilion B 2nd Floor, Redwood City, CA 94063 | 2019-10-02 |
| 1861052060 | County of San Mateo | Clinic/Center | 1300 Maple St., Redwood City, CA 94063 | 2019-06-19 |
| 1750941977 | County of San Mateo | Clinic/Center | 300 Bradford St., Redwood City, CA 94063 | 2019-06-19 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1235630369 | Waverly Place Apartments, Lp | Case Management | 105 Waverly Place, Redwood City, CA 94063 | 2018-02-23 |
| 1306371679 | Caely Alise Hambro | Student in an Organized Health Care Education/Training Program | Stanford Dermatology, 430 Broadway, Redwood City, CA 94063 | 2017-04-25 |
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1336683234 | Babita Chopra | Pharmacist | 2300 Middlefield Road, Redwood City, CA 94063 | 2016-12-12 |
| 1073065595 | Diana Genoveva Posner I | Counselor | 604 Prince Ave. Ste A, Redwood City, CA 94063 | 2016-11-01 |
| 1295288264 | Benjamin Dickter | Student in an Organized Health Care Education/Training Program | 1107 2nd Ave, Apt 103, Redwood City, CA 94063 | 2016-07-26 |
| Find all providers in zip 94063 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366803793 | Erin Elizabeth Davis | Counselor | 1645 Sierra St, Redwood City, CA 94061-2713 | 2016-03-12 |
| 1396014882 | Leobardo Navarro | Counselor | 822 Allerton St Apt 2, Redwood City, CA 94063-1350 | 2011-12-29 |
| 1720362379 | Brendan James Murray | Counselor | 1614 Hudson St #203, Redwood City, CA 94061 | 2011-09-30 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1619098365 | Maribel Paloma M. Fuentes | Counselor | 3756 Florence St, Redwood City, CA 94063-4418 | 2007-04-02 |
| 1205433166 | Pamela Marie Lococo | Counselor | 500 Allerton St, Redwood City, CA 94063-1519 | 2020-10-05 |
| 1588222707 | Sachet S Simon | Counselor | 3789 Hoover St, Redwood City, CA 94063-4504 | 2019-06-03 |
| 1316407851 | Jenna Brooke Cowen | Counselor | 500 Allerton St, Redwood City, CA 94063-1519 | 2019-03-21 |
| 1376001248 | Martha Maldonado-clark | Counselor | 500 Allerton St, Redwood City, CA 94063 | 2019-03-08 |
| 1255896411 | Laura Marie Barsocchini | Counselor | 500 Allerton St, Redwood City, CA 94063-1519 | 2019-02-01 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94063 |
Please comment or provide details below to improve the information on EDGAR IVAN CRUZ.
| 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.