Active NPI
Spencer Cross
- Student in an Organized Health Care Education/Training Program
- Rancho Mirage, CA
National Provider Identifier
1215707757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 34275 Monterey Ave
Rancho Mirage, CA 92270-2701 - Phone
- (442) 305-7701
- NPI assigned
- Jan 5, 2024
- Last updated
- Jan 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary | |
| Licensed Vocational Nurse | 164X00000X | 725209 | CA |
Addresses
Primary practice location
34275 Monterey Ave
Rancho Mirage, CA 92270-2701
Mailing address
80175 Avenue 52 Apt 711
La Quinta, CA 92253-7951
Other practice location 1
72700 Dinah Shore Dr
Palm Desert, CA 92211-0818
Phone (909) 825-7084
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 |
|---|---|---|---|
| 725209 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1215707757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80175 AVENUE 52 APT 711",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922537951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34275 MONTEREY AVE",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922702701",
"telephone_number": "442-305-7701"
}
],
"practiceLocations": [
{
"address_1": "72700 Dinah Shore Dr",
"address_purpose": "LOCATION",
"city": "Palm Desert",
"state": "CA",
"postal_code": "922110818",
"country_code": "US",
"telephone_number": "909-825-7084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROSS",
"first_name": "SPENCER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-05",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "725209",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.