Kimberly Irene Cruz

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

706369 Issued in CA

Practice address

811 W Telegraph Rd
Santa Paula, CA 93060-5400

Phone

(805) 265-4894

Fax

(805) 856-0343

NPI assigned

May 31, 2024

Last updated

May 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1851131247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W TELEGRAPH RD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930605400",
            "telephone_number": "805-265-4894",
            "fax_number": "805-856-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W TELEGRAPH RD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930605400",
            "telephone_number": "805-265-4894",
            "fax_number": "805-856-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "KIMBERLY",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "706369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Ventura (VCBH-Santa Paula Youth & Family Mental Health)
• County of Ventura (Santa Paula West FQHC)
• County of Ventura (Santa Paula Medical Clinic)
• County of Ventura (Santa Paula Medical Clinic FQHC)
• Lizbeth Covarrubias
• Samantha Cvijanovich, RDHAP
• Amyah Davis
• Curtis P Davison Jr., R.PH.
• Lisa Dianne De la O, LMFT
• Robert Dekkers, M.D.

• Licensed Vocational Nurse in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.