Active NPI
Yeraldy Cruz
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1730846452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 39088
- Practice address
- 1057 W 101St St
Los Angeles, CA 90044-3101 - Phone
- (424) 386-6815
- NPI assigned
- Nov 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 6639 | CA | |
| Speech-Language Pathologist | 235Z00000X | 39088 | CA | Primary |
Addresses
Primary practice location
1057 W 101St St
Los Angeles, CA 90044-3101
Mailing address
1057 W 101St St
Los Angeles, CA 90044-3101
Phone (424) 386-6815
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39088 | CA | MD | Marriage & Family Therapist |
| 6639 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1730846452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 W 101ST ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900443101",
"telephone_number": "424-386-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 W 101ST ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900443101",
"telephone_number": "424-386-6815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "YERALDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-17",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "CA",
"license": "6639",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "39088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.