Active NPI
Tammy Kruzick
- Registered Nurse
- Menifee, CA
National Provider Identifier
1003743535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 672399
- Practice address
- 30828 Carriage Hill Dr
Menifee, CA 92584-7007 - Phone
- (909) 904-2720
- NPI assigned
- May 7, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-41739 | CA | |
| Registered Nurse | 163W00000X | 672399 | CA | Primary |
Addresses
Primary practice location
30828 Carriage Hill Dr
Menifee, CA 92584-7007
Mailing address
30828 Carriage Hill Dr
Menifee, CA 92584-7007
Phone (909) 904-2720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 672399 | CA | MD | Registered Nurse |
| L-41739 | CA | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1003743535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30828 CARRIAGE HILL DR",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925847007",
"telephone_number": "909-904-2720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30828 CARRIAGE HILL DR",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925847007",
"telephone_number": "909-904-2720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUZICK",
"first_name": "TAMMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-07",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "CA",
"license": "L-41739",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "672399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.