Individual provider Active NPI

Jay Dela Cruz Belleza, LVN

  • General Acute Care Hospital
  • San Antonio, TX
National Provider Identifier
1689918484
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
LVN194795 Issued in CA
Practice address
21738 Hardy Oak Blvd Ste 105
San Antonio, TX 78258-4864
Phone
(210) 496-8050
NPI assigned
Nov 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X LVN194795 CA Primary

Addresses

Primary practice location

21738 Hardy Oak Blvd Ste 105
San Antonio, TX 78258-4864

Mailing address

2421 Ala Wai Blvd Apt 406
Honolulu, HI 96815-3411
Phone (808) 294-9393

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
LVN194795CAMDGeneral Acute Care Hospital

NPI Registry JSON

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1689918484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 ALA WAI BLVD APT 406",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153411",
            "telephone_number": "808-294-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21738 HARDY OAK BLVD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584864",
            "telephone_number": "210-496-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLEZA",
        "first_name": "JAY",
        "middle_name": "DELA CRUZ",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "LVN194795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.