Centro de Salud-Cruz

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CENTRO DE SALUD-CRUZ

Practice address

1002 E South Temple Ste 508
Salt Lake City, UT 84102-1568

Phone

(801) 908-0970

Fax

(801) 531-0930

NPI assigned

Jul 20, 2018

Organization subpart

No

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

Authorized official

Name

Maria G Cruz, DNP, FNP, CNM

Title

Owner/Provider

Phone

(801) 560-0930

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18603/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David A Moore, MD

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1700890365
  NPD (past)
• Megan Grace Muir, PA-C

  • Physician Assistant
  • SLC, UT
  • NPI 1477098416
  NPD (past)
• Sally Shenk-Fuegi, RN, MN, FNP

  • Family Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1114310802
  NPD (past)

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1770060980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E SOUTH TEMPLE STE 508",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021568",
            "telephone_number": "801-560-0930",
            "fax_number": "801-531-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E SOUTH TEMPLE STE 508",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021568",
            "telephone_number": "801-908-0970",
            "fax_number": "801-531-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE SALUD-CRUZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2021-06-16",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "801-560-0930",
        "authorized_official_credential": "DNP, FNP, CNM"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538598065",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Salt Lake City, UT
• Primary Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.