Miltom Cruz

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

797510 Issued in CA

Practice address

1700 Broadway Ste 500
Oakland, CA 94612-2141

Phone

(510) 273-4200

NPI assigned

Jul 24, 2019

Last updated

Jul 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Hiawatha Harris, M.D., Inc.

  • Counselor
  • Oakland, CA
  • NPI 1487074845
  NPD (past)
• Hiawatha Harris, M.D., Inc.

  dba Pathways To Wellness, Medication Clinic

  • Mental Health Counselor
  • Oakland, CA
  • NPI 1942420724
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1154974574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5674 STONERIDGE DR STE 207",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888592",
            "telephone_number": "925-520-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BROADWAY STE 500",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122141",
            "telephone_number": "510-273-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MILTOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "797510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cruz
• Jessica Cruz
• Kaitlin S Cruz
• Ligia Celeste Cruz
• Maricel Cruz
• Raul M. Cruz, MD
• Samuel Cruz
• Sydney Lee Cruz
• Crystal Le, MD Corporation
• Nina Analise Csombor

• Psychiatric/Mental Health Registered Nurse in Oakland, CA
• Providers in Oakland, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.