EDWIN A CRUZ (NPI# 1669556965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669556965 |
| Entity Type | Individual |
| Full Name | EDWIN A CRUZ |
| Credential | MD |
| Practice Address |
3000 Q St Fl 4 Sacramento CA 95816-7058 |
| Mailing Address |
3400 Data Dr Rancho Cordova CA 95670-7956 |
| Practice Telephone | 9167333372 |
| Practice Fax Number | 9167335743 |
| Mailing Telephone | 9168611486 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A65646 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0151918 | 05 | |
| CA | MEDICAL STATE LICENSE | A65646 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053748509 | Edwin Cruz | Military Health Care Provider | 64 Rosella Ave, Pawtucket, RI 02861-4234 | 2013-09-30 |
| 1114017506 | Edwin P. Cruz | Dentist | 2406 W Edinger Ave, Ste. A, Santa Ana, CA 92704-3544 | 2006-10-13 |
| 1881694750 | Edwin Cruz | Specialist | 1712 Stone Church Mews, Virginia Beach, VA 23455-4374 | 2005-07-21 |
| 1932587698 | Edwin Cruz | Behavioral Analyst | 3731 Sixth Avenue Suite 100, San Diego, CA 92103 | 2015-05-14 |
| 1932410925 | Edwin Alexander Cruz | Counselor | 1300 S Grand Ave Ste C, Santa Ana, CA 92705-4402 | 2010-06-24 |
| Street Address |
3000 Q ST FL 4 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-7058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527045 | Keith Allen Jackson | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2018-08-13 |
| 1184101354 | Amanda Krause Tirpack | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2018-07-20 |
| 1154830511 | Jody Lynn Davis | Registered Nurse | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2017-09-28 |
| 1245686211 | Stephanie L Yniguez | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2016-05-10 |
| 1245665884 | Andrew Jason Bloom | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2013-09-12 |
| 1588891998 | Edward H Lee | Internal Medicine | 3000 Q St Fl 4, Sacramento, CA 95816 | 2009-06-12 |
| 1861643694 | Jennifer Campbell | Nutritionist | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2008-10-10 |
| 1821245168 | Rita Estanol | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2008-08-19 |
| 1003080557 | Ryan Andrew Armour | Psychiatry & Neurology | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2008-04-16 |
| 1144365529 | Michael Y Han | Orthopaedic Surgery | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952738270 | Marshall Gollub | Psychiatry & Neurology | 1400 Jonas Ave., Sacramento, CA 95864 | 2013-10-01 |
| 1194160242 | Glen C Jickling | Psychiatry & Neurology | 2805 50th St, Rm 2415, Mind Institute, University of California Davis, Sacramento, CA 95817-2312 | 2013-05-02 |
| 1376886606 | Katherine Park | Psychiatry & Neurology | 3160 Folsom Blvd Ste 2100, Sacramento, CA 95816 | 2013-04-04 |
| 1700926920 | Fred R Samimi, Md, A Professional Corporation | Psychiatry & Neurology | 8765 Center Pkwy, #d, Sacramento, CA 95823-7682 | 2007-02-07 |
| 1447315361 | Michael Gerald Adelberg | Psychiatry & Neurology | 9856 Business Park Dr, Suite I, Sacramento, CA 95827-1704 | 2006-12-22 |
| 1639190556 | Bryant Neal Sheehy | Psychiatry & Neurology | 3908 J Street, Suite 4, Sacramento, CA 95819 | 2006-07-23 |
| 1063450500 | Lynne Ann Love | Psychiatry & Neurology | 3727 Marconi Ave, Sacramento, CA 95821-5303 | 2006-06-04 |
| 1790741734 | Vasanthi Krishna | Psychiatry & Neurology | 87 Scripps Drive Suite 210, Sacramento, CA 95825-7977 | 2006-04-26 |
| 1407818503 | Nidal Ali Khalili | Psychiatry & Neurology | 7551 Timberlake Way, Ste 240, Sacramento, CA 95823-5422 | 2006-04-04 |
| 1649243528 | Rebecca S Jordan | Psychiatry & Neurology | 7600 Hospital Dr, Suite G, Sacramento, CA 95823-5406 | 2006-02-09 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on EDWIN A 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.