Active NPI
Aaron Justiniani Cruz, COTA
- Feeding, Eating & Swallowing Occupational Therapy Assistant
- Madera, CA
National Provider Identifier
1396227799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Feeding, Eating & Swallowing Occupational Therapy Assistant
- License
- OTA2993
- Practice address
- 517 S a St
Madera, CA 93638-3806 - Phone
- (559) 673-9228
- Fax
- (559) 674-7199
- NPI assigned
- Aug 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Feeding, Eating & Swallowing Occupational Therapy Assistant | 224ZF0002X | OTA2993 | CA | Primary |
Addresses
Primary practice location
517 S a St
Madera, CA 93638-3806
Mailing address
8867 N Hayston Ave
Fresno, CA 93720-1960
Phone (904) 403-8468
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA2993 | CA | MD | Feeding, Eating & Swallowing Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1396227799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8867 N HAYSTON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937201960",
"telephone_number": "904-403-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 S A ST",
"city": "MADERA",
"state": "CA",
"postal_code": "936383806",
"telephone_number": "559-673-9228",
"fax_number": "559-674-7199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "AARON",
"middle_name": "JUSTINIANI",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "224ZF0002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
"state": "CA",
"license": "OTA2993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.