Telecare Ridgecrest Csu

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

Legal business name

TELECARE RIDGECREST CSU

Practice address

1141 Chelsea St
Ridgecrest, CA 93555-3208

Phone

(760) 463-2880

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Natasha Sophie Cruz, LVNNPI 1629831094

Title

LVN

Phone

(626) 393-8666

Specialties & licenses 2

Addresses

Practitioners 1

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

• Natasha Sophie Cruz

  • Licensed Vocational Nurse
  • Ridgecrest, CA
  • NPI 1629831094
  NPD Authorized official

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1982470134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 CHELSEA ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553208",
            "telephone_number": "760-463-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 CHELSEA ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553208",
            "telephone_number": "760-463-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELECARE RIDGECREST CSU",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "SOPHIE",
        "authorized_official_title_or_position": "LVN",
        "authorized_official_telephone_number": "626-393-8666",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Mohammed Syed, M.D.
• Taliaferro Chiropractic Clinic
• Shante Marie Taylor, M.S.W.
• Telecare Corporation
• Telecare Corporation
• Alexis Kaitlynn Terrell
• Senait M Tewolde
• Devanshu Harendra Thakore, MD
• The Healing Edge Vision
• Ashley Janel Thompson

• Licensed Vocational Nurse in Ridgecrest, CA
• Providers in Ridgecrest, 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 Jan 5, 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.