MRS. MIRIAM ENEIDA CRUZ (NPI# 1699090779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699090779 |
| Entity Type | Individual |
| Full Name | MRS. MIRIAM ENEIDA CRUZ |
| Credential | OTR/L |
| Practice Address |
9610 Granite Ridge Dr San Diego CA 92123-2684 |
| Practice Telephone | 8585055400 |
| Practice Fax Number | 8585055479 |
| Mailing Telephone | 8585055400 |
| Mailing Fax Number | 8585055479 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2017-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT1865 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326261587 | Miriam Martin Cruz | Psychiatry & Neurology | 463 Roberts Rd, Pacifica, CA 94044-3248 | 2007-04-10 |
| 1215146071 | Miriam Cruz | Social Worker | Calle Barbosa 241, Moca, PR 00676 | 2007-05-21 |
| Street Address |
9610 GRANITE RIDGE DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316997505 | Balboa Nephrology Medical Group Inc | Surgery | 9610 Granite Ridge Dr, Ste B, San Diego, CA 92123-2684 | 2006-05-11 |
| 1194241224 | Christina Van Ert | Physical Therapist | 9610 Granite Ridge Dr, San Diego, CA 92123-2684 | 2017-08-21 |
| 1396285920 | Rajan Bains | Physical Therapist | 9610 Granite Ridge Dr, San Diego, CA 92123-2684 | 2017-03-01 |
| 1891158549 | Sharp Rees-stealy Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 9610 Granite Ridge Dr, San Diego, CA 92123-2684 | 2016-03-31 |
| 1467888065 | Jesse James Simmons | Physical Therapist | 9610 Granite Ridge Dr, Suite C, San Diego, CA 92123-2684 | 2013-09-16 |
| 1730485855 | Alison Lou Adamczyk | Chiropractor | 9610 Granite Ridge Dr, Suite C, San Diego, CA 92123-2684 | 2011-02-08 |
| 1053629584 | Keri Von Kalinowski | Physical Therapist | 9610 Granite Ridge Dr, San Diego, CA 92123-2684 | 2010-09-17 |
| 1982832945 | Bianca Ashley Tribuzio | Physical Medicine & Rehabilitation | 9610 Granite Ridge Dr, San Diego, CA 92123-2684 | 2009-06-29 |
| 1295974673 | Erin Jean Stone | Physical Therapist | 9610 Granite Ridge Dr, San Diego, CA 92123-2684 | 2009-02-09 |
| 1316116494 | Hassia Alice Orgel | Allergy & Immunology | 9610 Granite Ridge Dr, Suite B, San Diego, CA 92123-2684 | 2008-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826670 | Katrina Hagewood | Occupational Therapist | 12220 World Trade Dr Ste 130, San Diego, CA 92128-3900 | 2020-09-18 |
| 1750906889 | Caitlin Grace Turner | Occupational Therapist | 4672 Mount Putman Ct, San Diego, CA 92117-4751 | 2020-06-15 |
| 1205450715 | Rudo Oronde Adams | Occupational Therapist | 7017 Osler St, San Diego, CA 92111-5536 | 2020-05-31 |
| 1720607963 | Allison Brekke | Occupational Therapist | 438 W Date St Apt 1, San Diego, CA 92101-2528 | 2020-04-08 |
| 1326671025 | Jessica Welch | Occupational Therapist | 6262 Ferris Sq, San Diego, CA 92121-3205 | 2020-02-20 |
| 1275164030 | Katherine Manansala Macapinlac | Occupational Therapist | 10961 San Blas Cir, San Diego, CA 92126-2447 | 2020-01-30 |
| 1851921142 | Carly Ono | Occupational Therapist | 10760 Thornmint Rd Ste 132, San Diego, CA 92127-2700 | 2020-01-25 |
| 1124658729 | Kimberly Dyanne Gaudi | Occupational Therapist | 4421 47th St, San Diego, CA 92115-4516 | 2020-01-22 |
| 1861022816 | Priscilla Marina | Occupational Therapist | 12519 El Camino Real Unit G, San Diego, CA 92130-4027 | 2020-01-17 |
| 1699312702 | Katelyn Yeaman | Occupational Therapist | 4452 Highland Ave Apt 5, San Diego, CA 92115-4345 | 2019-12-08 |
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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.