Linda Cruz, D.C.
Individual provider Active NPI Chiropractor · Mount Shasta, CA
NPI 1679946305 · NPPES record last updated Nov 3, 2015
Key facts
- NPI
- 1679946305
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 33398 (CA)
- Practice address
- 1180 S Mount Shasta Blvd Ste C
Mount Shasta, CA 96067-2764 - Phone
- (832) 512-7333
- NPI assigned
- Nov 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12545 | TX | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33398 | CA | Yes |
| Chiropractor | 111N00000X | 12545 | TX |
Addresses
Primary practice location
1180 S Mount Shasta Blvd Ste C
Mount Shasta, CA 96067-2764
Mailing address
1180 S Mount Shasta Blvd Ste C
Mount Shasta, CA 96067-2764
Phone (832) 512-7333
Other providers in Mount Shasta, CA
- County of Siskiyou
- Judith Kay Crabtree
- Hannah Craig
- Hannah Crisci
- Loren Cronk
- John Cunningham
- Dennis Vu Cao Dang
- Jennifer Daniell Pentrack
- Lynn Ngoc Dao
- Sara Davis
All providers in Mount Shasta, CA · Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.