Luis Angel Avila Cruz
Individual provider Active NPI Case Manager/Care Coordinator · Lincoln, CA
NPI 1295319481 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1295319481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 110 Gateway Dr Ste 210
Lincoln, CA 95648-3306 - Phone
- (916) 645-3300
- Fax
- (916) 645-3311
- NPI assigned
- May 12, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
110 Gateway Dr Ste 210
Lincoln, CA 95648-3306
Mailing address
110 Gateway Dr Ste 210
Lincoln, CA 95648-3306
Phone (916) 645-3300
Other providers in Lincoln, CA
- Tara Armstrong
- Kimberly Iliana Arocho
- James Arriaga
- Taylor Artley
- Gregory Avetisov
- Alicia Avila
- Kenia G Babchanik
- Mark Reyes Baello
- Sureena Bains-Takher
- Elizabeth Ann Baker
All providers in Lincoln, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.