Active NPI
Paola Cruz
- Rehabilitation Practitioner
- San Jose, CA
National Provider Identifier
1386427698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 1356 Ridder Park Dr
San Jose, CA 95131-2313 - Phone
- (408) 648-7122
- NPI assigned
- Aug 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
1356 Ridder Park Dr
San Jose, CA 95131-2313
Mailing address
9015 Murray Ave Ste 100
Gilroy, CA 95020-3675
Phone (408) 846-4770
Other practice location 1
2202 N 1st St
San Jose, CA 95131-2007
Phone (408) 648-7122
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Solutions for Children, Families and Individuals | Past | Accepting new patients | |
| Community Solutions for Children, Families and Individuals | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- San Jose, CA
- NPI 1699927319
-
- Community/Behavioral Health Agency
- Morgan Hill, CA
- NPI 1720205131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1386427698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9015 MURRAY AVE STE 100",
"city": "GILROY",
"state": "CA",
"postal_code": "950203675",
"telephone_number": "408-846-4770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1356 RIDDER PARK DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951312313",
"telephone_number": "408-648-7122"
}
],
"practiceLocations": [
{
"address_1": "2202 N 1st St",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951312007",
"country_code": "US",
"telephone_number": "408-648-7122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "PAOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-18",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.