Active NPI
Wendy Yaneth Cruz Flores
- Dental Assistant
- Panorama City, CA
National Provider Identifier
1750917373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- RDA90013
- Practice address
- 14707 Titus St Apt 7
Panorama City, CA 91402-4712 - Phone
- (323) 252-7564
- NPI assigned
- Mar 15, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | RDA90013 | CA | Primary |
Addresses
Primary practice location
14707 Titus St Apt 7
Panorama City, CA 91402-4712
Mailing address
14707 Titus St Apt 7
Panorama City, CA 91402-4712
Phone (323) 252-7564
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 |
|---|---|---|---|
| RDA90013 | CA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584230400000",
"number": "1750917373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14707 TITUS ST APT 7",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024712",
"telephone_number": "323-252-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14707 TITUS ST APT 7",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024712",
"telephone_number": "323-252-7564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ FLORES",
"first_name": "WENDY",
"middle_name": "YANETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-15",
"last_updated": "2020-03-15",
"certification_date": "2020-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "RDA90013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panorama City, CA
- Yajaira G. Contreras, ACSW
- Sandra Camille Corner
- Covenant Hospice & Palliative Care of California, Inc. (Covenant Hospice of CA)
- Linda S. Croad, MD
- Nicole Mosqueda Crutcher, FNP-C
- Leticia Cruz
- Guang Ge Cui, ACUPUNCTURIST
- Theresa Boyle Cunningham, M.S.
- Thomas Christopher Cunningham, M.D.
- Brett Peyton Custodia, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.