Edgar Cruz Hernandez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

626 Trevethan Ave
Santa Cruz, CA 95065-1345

Phone

(831) 331-0517

NPI assigned

Jul 26, 2019

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1730733841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 TREVETHAN AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 TREVETHAN AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651345",
            "telephone_number": "831-331-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ HERNANDEZ",
        "first_name": "EDGAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-26",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Hoyt Crowe
• Erin Judith Crowley, LMFT
• Nancy Jane Crowley, LCSW
• Garry Crummer, M.D.
• Lauren Crux, MA, MFC
• Carlos Antonio Cruz Ramirez
• Adriel Cruz
• Claudia Cruz
• David Cruz
• Jesus Cruz

• Case Manager/Care Coordinator in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.