Sally Ann Cross, CLIN LAB SCIENTIST

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

MTA28294 Issued in CA

Practice address

8600 Tuscany Ave
#205
Playa del Rey, CA 90293-8696

Phone

(310) 578-9767

Fax

(310) 823-1404

NPI assigned

Jun 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1053572776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 TUSCANY AVE",
            "address_2": "#205",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938696",
            "telephone_number": "310-578-9767",
            "fax_number": "310-823-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 TUSCANY AVE",
            "address_2": "#205",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902938696",
            "telephone_number": "310-578-9767",
            "fax_number": "310-823-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "credential": "CLIN LAB SCIENTIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "CA",
            "license": "MTA28294",
            "primary": true
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "CA",
            "license": "ASCP #134302",
            "primary": false
        },
        {
            "code": "246QM0900X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Microbiology",
            "state": "CA",
            "license": "ASCP #1587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Technologist in Playa del Rey, CA
• Providers in Playa del Rey, CA by specialty
• Medical Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.