Natasha Sophie Cruz

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

698357 Issued in CA

Practice address

1141 Chelsea St
Ridgecrest, CA 93555-3208

Phone

(760) 463-2880

NPI assigned

Jan 30, 2024

Last updated

Jan 30, 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

Locations

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.

• Telecare Ridgecrest Csu

  • Licensed Vocational Nurse
  • Ridgecrest, CA
  • NPI 1982470134
  NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1629831094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 CHELSEA ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 CHELSEA ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553208",
            "telephone_number": "760-463-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "NATASHA",
        "middle_name": "SOPHIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "698357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Kern (KernBHRS Mesquite Continuation High)
• County of Kern (Kern BHRS Ridgecrest Burroughs High)
• Stephanie Crapo, MD
• Heather Ann Creel, LCSW
• Critical Care Registered Nursing Nurse Anesthesia Inc
• Sunit Dalal
• Hoang Anh Dang
• Daniel H. Mallory, O.D.
• Brian Lory Danielsson, DDS
• Karen Elizabeth Davin, NP

• Licensed Vocational Nurse in Ridgecrest, CA
• Providers in Ridgecrest, 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 Jan 30, 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.