Individual provider Active NPI

Iris Cruet-Rubio, MS

  • Marriage & Family Therapist
  • Gardena, CA
National Provider Identifier
1285834887
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
94038 Issued in CA
Practice address
879 W 190TH St Ste 400
Gardena, CA 90248-4223
Phone
(310) 819-1055
Fax
(310) 943-0494
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 94038 CA Primary
Marriage & Family Therapist 106H00000X CA

Addresses

Primary practice location

879 W 190TH St Ste 400
Gardena, CA 90248-4223

Mailing address

1201 N Catalina Ave Unit 3052
Redondo Beach, CA 90277-8255
Phone (310) 819-1055

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
Master of Science

State licenses

LicenseStateTypeSpecialty
94038CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Miracles Counseling Center, Inc Marriage & Family Therapist CurrentSince Aug 11, 2019 Accepting new patients

Locations

879 W 190th St
Ste 400
Gardena, CA 90248
Phone (310) 692-4229

1201 N Catalina Ave
Unit 3052
Redondo Beach, CA 90277

Organizations & group practices 1

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1285834887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N CATALINA AVE UNIT 3052",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902778255",
            "telephone_number": "310-819-1055",
            "fax_number": "310-943-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 W 190TH ST STE 400",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484223",
            "telephone_number": "310-819-1055",
            "fax_number": "310-943-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUET-RUBIO",
        "first_name": "IRIS",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94038",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.