Individual provider Active NPI

Mayra Cruz Galindo

  • Behavior Technician
  • Elk Grove, CA
National Provider Identifier
1336625003
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
9370 W Stockton Blvd Ste 100
Elk Grove, CA 95758-8013
Phone
(877) 828-8476
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

9370 W Stockton Blvd Ste 100
Elk Grove, CA 95758-8013

Mailing address

4809 Tangerine Ave
Sacramento, CA 95823-4111
Phone (916) 588-7028

Other identifiers 1

IdentifierTypeStateIssuer
622-90OtherCASOCIAL

Other names 1

  • Mayra I. Cruz Other name

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1336625003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 TANGERINE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958234111",
            "telephone_number": "916-588-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 W STOCKTON BLVD STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588013",
            "telephone_number": "877-828-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ GALINDO",
        "first_name": "MAYRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL",
            "identifier": "622-90",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRA",
            "last_name": "CRUZ",
            "middle_name": "I.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.