Active NPI
Heysell Cruz Skolmoski
- Audiologist
- Santa Clara, CA
National Provider Identifier
1730979139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 4229
- Practice address
- 710 Lawrence Expy Dept 296
Santa Clara, CA 95051-5173 - Phone
- (408) 851-2950
- NPI assigned
- May 8, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Audiologist | 231H00000X | 4229 | CA | Primary |
Addresses
Primary practice location
710 Lawrence Expy Dept 296
Santa Clara, CA 95051-5173
Mailing address
3524 Olsen Dr
San Jose, CA 95117-1562
Other practice location 1
1825 4th St Fl 5
San Francisco, CA 94143-2350
Phone (415) 353-2101
Other practice location 2
2330 Post St.
Suite 270
San Francisco, CA 94115-0340
Phone (415) 353-2101
Other names 1
- Heysell Cruz Pacas
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1730979139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3524 OLSEN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 LAWRENCE EXPY DEPT 296",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950515173",
"telephone_number": "408-851-2950"
}
],
"practiceLocations": [
{
"address_1": "1825 4th St Fl 5",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432350",
"country_code": "US",
"telephone_number": "415-353-2101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2330 Post St.",
"address_2": "Suite 270",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941150340",
"country_code": "US",
"telephone_number": "415-353-2101",
"fax_number": "415-353-2883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ SKOLMOSKI",
"first_name": "HEYSELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-08",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "4229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEYSELL",
"last_name": "CRUZ PACAS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.