Carmely Elizabeth Cruz, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

258787 Issued in CA

Practice address

2500 Wilshire Blvd Ste 500
Los Angeles, CA 90057-4310

Phone

(213) 639-0299

NPI assigned

Mar 9, 2013

Last updated

Mar 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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.

• Portals Mental Health

  • Case Management Agency
  • Los Angeles, CA
  • NPI 1043359631
  NPD (past)

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

{
    "created_epoch": "1362787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362787200000",
    "number": "1598006991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 FRANLIE DR",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401711",
            "telephone_number": "323-541-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 WILSHIRE BLVD STE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574310",
            "telephone_number": "213-639-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CARMELY",
        "middle_name": "ELIZABETH",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-09",
        "last_updated": "2013-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "258787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Cruz
• Brian Cruz
• Brian Christopher Cruz, RN
• Carlos Cruz
• Carlota Javier Cruz, D.M.D.
• Carolina Cruz
• Chancelor Cruz, MD
• Charlene Nicole Cruz
• Christina Amelia Cruz
• Christina Maria Cruz

• Licensed Vocational Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2013; 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.