Individual provider Active NPI

Leslie Rae Cruz

  • Clinical Social Worker
  • Colton, CA
National Provider Identifier
1609751973
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
131732 Issued in CA
Practice address
777 W Valley Blvd
Colton, CA 92324-2251
Phone
(951) 214-5455
NPI assigned
Aug 7, 2025
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
131732CAMDClinical Social Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 131732 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

777 W Valley Blvd
Colton, CA 92324-2251

Mailing address

22578 De Soto St
Grand Terrace, CA 92313-5524
Phone (951) 214-5455

Other practice location 1

3576 Arlington Ave Ste 202
Riverside, CA 92506-3943
Phone (951) 836-6727

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2026.

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1609751973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22578 DE SOTO ST",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135524",
            "telephone_number": "951-214-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W VALLEY BLVD",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242251",
            "telephone_number": "951-214-5455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3576 Arlington Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925063943",
            "country_code": "US",
            "telephone_number": "951-836-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "LESLIE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "131732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.