Individual provider Active NPI

Glenda Marina Cruz Viramontes

  • Marriage & Family Therapist
  • Half Moon Bay, CA
National Provider Identifier
1902334873
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
225 Cabrillo Hwy S Ste 200a
Half Moon Bay, CA 94019-7210
Phone
(650) 573-3941
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

225 Cabrillo Hwy S Ste 200a
Half Moon Bay, CA 94019-7210

Mailing address

225 Cabrillo Hwy S Ste 100a
Half Moon Bay, CA 94019-1738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311000490 CA Practitioner - Marriage and Family Therapist 5496276164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo Current Accepting new patients
County of San Mateo CurrentSince Jan 27, 2025 Accepting new patients
San Mateo County CurrentSince Jan 27, 2025 Accepting new patients

Locations

375 89th St
Daly City, CA 94015
Phone (650) 301-8650

225 Cabrillo Hwy S
Ste 200A
Half Moon Bay, CA 94019
Phone (650) 573-3941

225 Cabrillo Hwy S
Ste 100A
Half Moon Bay, CA 94019
Phone (650) 712-7330

802 Brewster Ave
Redwood City, CA 94063
Phone (650) 363-4111

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

1950 Alameda de las Pulgas
San Mateo, CA 94403
Phone (650) 573-3571

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1902334873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CABRILLO HWY S STE 100A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CABRILLO HWY S STE 200A",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940197210",
            "telephone_number": "650-573-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ VIRAMONTES",
        "first_name": "GLENDA",
        "middle_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Half Moon Bay, CA

Sources for this page

Verify at the official NPI Registry.