Active NPI
Ediltrudis Magaly Cruz Ozawa, BS
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1922396258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MI-0453
- Practice address
- 730 N Eastern Ave Ste 100
Las Vegas, NV 89101-2885 - Phone
- (702) 598-2020
- Fax
- (702) 598-2018
- NPI assigned
- Jul 20, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 00178-LCI | NV | |
| Rehabilitation Practitioner | 225400000X | |||
| Marriage & Family Therapist | 106H00000X | MI-0453 | NV | Primary |
Addresses
Primary practice location
730 N Eastern Ave Ste 100
Las Vegas, NV 89101-2885
Mailing address
730 N Eastern Ave Ste 100
Las Vegas, NV 89101-2885
Phone (702) 598-2020
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00178-LCI | NV | MD | Addiction (Substance Use Disorder) Counselor |
| MI-0453 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1922396258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 N EASTERN AVE STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891012885",
"telephone_number": "702-598-2020",
"fax_number": "702-598-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 N EASTERN AVE STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891012885",
"telephone_number": "702-598-2020",
"fax_number": "702-598-2018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ OZAWA",
"first_name": "EDILTRUDIS",
"middle_name": "MAGALY",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-20",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "00178-LCI",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI-0453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.