Active NPI
Debbie Terry Cruz
- Specialist
- Oakland, CA
National Provider Identifier
1497366694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 6333 Telegraph Ave
Oakland, CA 94609-1359 - Phone
- (510) 407-4122
- NPI assigned
- Aug 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
6333 Telegraph Ave
Oakland, CA 94609-1359
Mailing address
6333 Telegraph Ave
Oakland, CA 94609-1359
Phone (510) 407-4122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000111 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Oakland | Other | Bonita House, Inc. |
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": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1497366694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6333 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091359",
"telephone_number": "510-407-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091359",
"telephone_number": "510-407-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "DEBBIE",
"middle_name": "TERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2023-11-27",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000111",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Oakland",
"affiliation": "Y",
"endpointDescription": "https",
"affiliationName": "Bonita House, Inc.",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Oakland",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6333 Telegraph Ave Ste 102",
"city": "Oakland",
"state": "CA",
"country_code": "US",
"postal_code": "946091359",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.