Individual provider Active NPI

Ernesto Cruz, LMFT

  • Marriage & Family Therapist
  • Santa Fe Springs, CA
National Provider Identifier
1013522390
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
121607 Issued in CA
Practice address
12215 Telegraph Rd Ste 107
Santa Fe Springs, CA 90670-3344
Phone
(925) 282-1778
Fax
(415) 296-5299
NPI assigned
Sep 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 121607 CA Primary

Addresses

Primary practice location

12215 Telegraph Rd Ste 107
Santa Fe Springs, CA 90670-3344

Mailing address

12215 Telegraph Rd Ste 107
Santa Fe Springs, CA 90670-3344
Phone (925) 282-1778

Other practice location 1

1850 E 17th St Ste 119
Santa Ana, CA 92705-8625
Phone (714) 883-9156

Other practice location 2

17337 Ventura Blvd Ste 220
Encino, CA 91316-4039
Phone (714) 883-9156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240506001459 CA Practitioner - Marriage and Family Therapist 3971943077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

12215 Telegraph Rd
Suite 107
Santa Fe Springs, CA 90670-3344
Phone (925) 282-1778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Mar 23, 2024 Accepting new patients
Stepping Stones Family Counseling Marriage & Family Therapist CurrentSince Sep 1, 2020 Accepting new patients

Locations

17337 Ventura Blvd
Ste 220
Encino, CA 91316
Phone (818) 418-4440

6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474

675 S Arroyo Pkwy
Ste 420
Pasadena, CA 91105
Phone (626) 795-0617

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

1850 E 17th St
Ste 119
Santa Ana, CA 92705
Phone (714) 333-6425

12215 Telegraph Rd
Ste 107
Santa Fe Springs, CA 90670

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.ernestocruz@148377.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1013522390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12215 TELEGRAPH RD STE 107",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703344",
            "telephone_number": "925-282-1778",
            "fax_number": "415-296-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12215 TELEGRAPH RD STE 107",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703344",
            "telephone_number": "925-282-1778",
            "fax_number": "415-296-5299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 E 17th St Ste 119",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927058625",
            "country_code": "US",
            "telephone_number": "714-883-9156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17337 Ventura Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913164039",
            "country_code": "US",
            "telephone_number": "714-883-9156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ERNESTO",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-13",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

Verify at the official NPI Registry.