Jessica Cruze, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95032620 Issued in CA

Practice address

12954 Hawthorne Blvd Ste 104
Hawthorne, CA 90250-4418

Phone

(310) 679-0269

NPI assigned

Nov 7, 2024

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hawthorne Morningside Medical Clinic

  • Pediatrics Physician
  • Hawthorne, CA
  • NPI 1477692408
  NPD (past)

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1477376309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 HARPER AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782724",
            "telephone_number": "805-813-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12954 HAWTHORNE BLVD STE 104",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504418",
            "telephone_number": "310-679-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZE",
        "first_name": "JESSICA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95032620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naila Crawford
• Cris Durghinescu D.D.S., Inc.
• Pat O Crosby, LVN
• Catherine E Cruz-Catipon, RDA
• Jaclyn Ann Cruz, M.S. CCC-SLP
• Stephanie Cullen
• CVS
• Regina Lucia Da Costa
• Da Vinci Rise High
• Rajender Singh Dabas, P.A.-C

• Family Nurse Practitioner in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.