Tyrone Cross, LPT

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

PT31258 Issued in CA

Practice address

212 Carmen LN Ste 201
Santa Maria, CA 93458-7771

Phone

(805) 739-8706

Fax

(805) 739-8738

NPI assigned

Feb 26, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1568602829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 GREEN CT",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464415",
            "telephone_number": "805-739-8706",
            "fax_number": "805-739-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587771",
            "telephone_number": "805-739-8706",
            "fax_number": "805-739-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "TYRONE",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "PT31258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARES CRISIS RESIDENTIAL NORTH",
            "identifier": "94-1735271",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TELECARE CARES CRISIS RESIDENTIAL",
            "identifier": "1689762486",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Joseph Crisp, M.D.
• Jennifer Alyce Croll, ATC
• Nicole Cronin
• Verschoyle Hume Clarke Cronyn, MD
• Laura Louise Cross
• John Muzzy Crowl
• Maria Guadalupe Cruz Santiago, AMFT
• Adriana Cruz, BA
• Lisa D Cruz, LMFT
• Thomas A Csanadi, MD

• Case Manager/Care Coordinator in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.