Individual provider Active NPI

Cardis Melagros Cruz-Sivils, P.A.

  • Medical Physician Assistant
  • Salinas, CA
National Provider Identifier
1659369247
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
17387 Issued in CA
Practice address
275 W Laurel Dr
Suite a.
Salinas, CA 93906-3460
Phone
(831) 755-1600
NPI assigned
Oct 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 17387 CA Primary

Addresses

Primary practice location

275 W Laurel Dr
Suite a.
Salinas, CA 93906-3460

Mailing address

275 W Laurel Dr
Ste a
Salinas, CA 93906-3460
Phone (831) 905-5868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609001465 CA Practitioner - Physician Assistant 5799768859 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1659369247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W LAUREL DR",
            "address_2": "STE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063460",
            "telephone_number": "831-905-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W LAUREL DR",
            "address_2": "SUITE A.",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063460",
            "telephone_number": "831-755-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-SIVILS",
        "first_name": "CARDIS",
        "middle_name": "MELAGROS",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-09",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "17387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.