Individual provider Active NPI

Rosa Cruz, ACSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1154662328
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
149 S Mednik Ave # 201
Los Angeles, CA 90022-1606
Phone
(323) 981-9714
NPI assigned
Mar 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

149 S Mednik Ave # 201
Los Angeles, CA 90022-1606

Mailing address

149 S Mednik Ave # 201
Los Angeles, CA 90022-1606
Phone (323) 981-9714

Other practice location 1

10418 Valley Blvd Ste A
El Monte, CA 91731-3600
Phone (626) 258-1600 ext. 640

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alma Family Services PastSince Jul 17, 2022 Accepting new patients
Alma Family Services PastSince Jul 17, 2022 Accepting new patients

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": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1154662328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 S MEDNIK AVE # 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221606",
            "telephone_number": "323-981-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 S MEDNIK AVE # 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221606",
            "telephone_number": "323-981-9714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10418 Valley Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917313600",
            "country_code": "US",
            "telephone_number": "626-258-1600 x640",
            "fax_number": "626-258-1609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ROSA",
        "name_prefix": "Mrs.",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.