Active NPI
Vivian G Cruz, CMT, EMT
- Massage Therapist
- Vallejo, CA
National Provider Identifier
1225213788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 301 Georgia St
Suite 210
Vallejo, CA 94590-5946 - Phone
- (707) 655-0454
- Fax
- (707) 647-2604
- NPI assigned
- Jan 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | CA | Primary |
Addresses
Primary practice location
301 Georgia St
Suite 210
Vallejo, CA 94590-5946
Mailing address
301 Georgia St.
Suite 210
Vallejo, CA 94590
Phone (707) 655-0454
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
- Credentials
- Emergency Medical Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1225213788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 GEORGIA ST.",
"address_2": "SUITE 210",
"city": "VALLEJO",
"state": "CA",
"postal_code": "94590",
"telephone_number": "707-655-0454",
"fax_number": "707-647-2604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 GEORGIA ST",
"address_2": "SUITE 210",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945905946",
"telephone_number": "707-655-0454",
"fax_number": "707-647-2604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "VIVIAN",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "CMT, EMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.