CINDY S CRUZAN


Address: 34101 Farenholt Ave, San Diego, CA 92134-7000
Phone: 6195325750

CINDY S CRUZAN (NPI# 1740481571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740481571
Entity Type Individual
Full Name CINDY S CRUZAN
Credential IDC
Practice Address 34101 Farenholt Ave
San Diego
CA 92134-7000
Practice Telephone 6195325750
Mailing Telephone 6195325750
Enumeration Date 2007-05-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Office Location

Street Address 34101 FARENHOLT AVE
City SAN DIEGO
State CA
Zip Code 92134-7000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376522193 Anna Gruetzmacher Registered Nurse 34101 Farenholt Ave, Nshs-sd Idc, San Diego, CA 92134-7000 2006-01-11
1992316541 Michael Trey Wix Military Health Care Provider 34101 Farenholt Ave, San Diego, CA 92134-7000 2020-08-16
1063023737 James Anthony Lukas IIi Military Health Care Provider 34101 Farenholt Ave, San Diego, CA 92134-7000 2020-08-14
1477164143 Evan Lewis Ridenour Military Health Care Provider 34101 Farenholt Ave, San Diego, CA 92134-7000 2020-08-14
1295353175 Derek R Summers Military Health Care Provider 34101 Farenholt Ave, San Diego, CA 92134-7000 2020-07-08
1992326854 Brandon Ponder Military Health Care Provider 34101 Farenholt Ave, San Diego, CA 92134-7000 2020-05-01
1912535493 Michael Johnson Military Health Care Provider 34101 Farenholt Ave, San Diego, CA 92134-7000 2020-03-30
1023655313 Kayla Seim Military Health Care Provider 34101 Farenholt Ave, San Diego, CA 92134-7000 2019-12-05
1871130104 Eric Ancheta Military Health Care Provider 34101 Farenholt Ave, San Diego, CA 92134-7000 2019-12-05
1811533656 Andres Ricardo Castaneda Military Health Care Provider 34101 Farenholt Ave, San Diego, CA 92134-7000 2019-11-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093124398 Benjamin Ryan Foy Military Health Care Provider 2784 Hornet Way, San Diego, CA 92106-6421 2014-08-12
1346552064 Jeffrey Thomas Gilbert Military Health Care Provider 3841 Colina Dorado Dr, Apartment G108, San Diego, CA 92124 2010-07-10
1467674150 John Dudley Harris Jr. Military Health Care Provider 33000 Nixie Way Bldg 50, San Diego, CA 92147-5101 2007-05-03
1730157736 Alfredo Alcalaesparza Military Health Care Provider 2211 Pacific Beach Dr, San Diego, CA 92109-5626 2006-03-08
1447606322 Jeffrey Tyler Whitson Military Health Care Provider 34101 Farenholt Ave, Building 14, San Diego, CA 92134-7000 2016-05-10
1497927404 Keren Mireya Lemas Military Health Care Provider 2450 Craven St, San Diego, CA 92136-5599 2008-03-31
1689873192 Keith Robert Davis Military Health Care Provider 140 Sylvester Rd, Uss Topeka (ssn 754) Fpo Ap 96679-2410, San Diego, CA 92106-3521 2007-07-13
1932169380 Shirley Hovlid Military Health Care Provider 2650 Stockton Rd, San Diego, CA 92106-6000 2006-03-27
1851368229 Carlos M. Coleman Military Health Care Provider 34101 Farenholt Ave, Nshs-sd Idc Dept, San Diego, CA 92134-7000 2006-03-03
1023085883 Anthony Petrone Jr. Military Health Care Provider 140 Sylvester Rd, San Diego, CA 92106-3521 2006-03-01
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Competitor

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City SAN DIEGO
Zip Code 92134

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Dataset Information

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.

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