Omar De la Cruz

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

115663 Issued in CA

Practice address

3490 The Alameda
Santa Clara, CA 95050-4333

Phone

(408) 243-0222

Fax

(408) 289-1140

NPI assigned

Jul 1, 2014

Sex

Male

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

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1902212798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939550361",
            "telephone_number": "831-917-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 THE ALAMEDA",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504333",
            "telephone_number": "408-243-0222",
            "fax_number": "408-289-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "OMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie T Davis Jr., DC, CCSP
• William Davis
• Cameron Jacob Macleod Day
• Melanie E Daye, PH.D.
• Brian De Garmo, DC
• Michelle Lynson De la Vega, DDS
• David Robert De Long, DDS
• Austin Sean De Lozada, PA-C
• Elena De Salvo, MA MFT
• Sophia Madeline De Silva White

• Marriage & Family Therapist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.