Mayra Cervantes Cruz

Primary specialty

Social WorkerTaxonomy code 104100000X

License

97499 Issued in CA

Practice address

1510 Fashion Island Blvd Ste 310M
San Mateo, CA 94404-1587

Phone

(415) 231-4121

NPI assigned

May 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1639527666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 S SPRUCE AVE STE 200",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804557",
            "telephone_number": "415-681-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD STE 310M",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041587",
            "telephone_number": "415-231-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES CRUZ",
        "first_name": "MAYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "97499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cep America - California
• Cep America - Neurology PC
• Cep America - Psychiatry PC
• Alana Mae Almodovar Cerbas
• Sayda Ceron
• Cervantes Medical Group
• Martha Yolanda Cervantes, MFTI
• Stephanie Janet Cervantes
• April Junghee Cha
• Rosalyn Cha, LCSW

• Social Worker in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.