Individual provider Active NPI

Patricia Margarete Cruz, M.A., M.F.T.

  • Marriage & Family Therapist
  • Laguna Niguel, CA
National Provider Identifier
1285702175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC41619 Issued in CA
Practice address
30011 Ivy Glenn Dr
Suite Number 216
Laguna Niguel, CA 92677-5014
Phone
(949) 280-5651
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC41619 CA Primary

Addresses

Primary practice location

30011 Ivy Glenn Dr
Suite Number 216
Laguna Niguel, CA 92677-5014

Mailing address

30011 Ivy Glenn Dr
Suite Number 216
Laguna Niguel, CA 92677-5014
Phone (949) 280-5651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251020000735 CA Practitioner - Marriage and Family Therapist 8628566916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2810 Brentwood Dr
Bay Minette, AL 36507-6210

4110 Edison Ave
Suite 206a
Chino, CA 91710-8417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC41619CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Health Management Psychological Corporation CurrentSince Oct 2, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Marriage & Family Therapist Current Accepting new patients

Locations

4110 Edison Ave
Ste 206A
Chino, CA 91710
Phone (951) 454-5577

Interoperability endpoints

  • Direct secure messaging: patriciacruz@tdh.allscriptsdirect.net

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285702175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR",
            "address_2": "SUITE NUMBER 216",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775014",
            "telephone_number": "949-280-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR",
            "address_2": "SUITE NUMBER 216",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775014",
            "telephone_number": "949-280-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "PATRICIA",
        "middle_name": "MARGARETE",
        "name_prefix": "Ms.",
        "credential": "M.A., M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.