Active NPI
Lucy Cruz Renteria, CCMA
- Case Manager/Care Coordinator
- Sacramento, CA
National Provider Identifier
1053954289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- G6P3T2S4
- Practice address
- 310 Harris Ave Ste a
Sacramento, CA 95838-3249 - Phone
- (916) 649-6793
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | G6P3T2S4 | CA | Primary |
Addresses
Primary practice location
310 Harris Ave Ste a
Sacramento, CA 95838-3249
Mailing address
310 Harris Ave Ste a
Sacramento, CA 95838-3249
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 |
|---|---|---|---|
| G6P3T2S4 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571616000000",
"number": "1053954289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 HARRIS AVE STE A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 HARRIS AVE STE A",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383249",
"telephone_number": "916-649-6793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTERIA",
"first_name": "LUCY",
"middle_name": "CRUZ",
"credential": "CCMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2019-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "G6P3T2S4",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.