LETICIA H CRUZ (NPI# 1023103900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023103900 |
| Entity Type | Individual |
| Full Name | LETICIA H CRUZ |
| Credential | PA-C |
| Practice Address |
3801 Vista Rd Ste 100 Pasadena TX 77504-2160 |
| Practice Telephone | 7138442455 |
| Practice Fax Number | 7138442470 |
| Mailing Telephone | 7138442455 |
| Mailing Fax Number | 7138442470 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA03609 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | PA03609 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659707271 | Leticia Cruz | Counselor | 50 W 23rd St, 9th Floor, New York, NY 10010-5205 | 2013-09-16 |
| Street Address |
3801 VISTA RD STE 100 |
| City | PASADENA |
| State | TX |
| Zip Code | 77504-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255436366 | Bertha Campos | Physician Assistant | 3801 Vista Rd Ste 100, Pasadena, TX 77504-2160 | 2006-09-13 |
| 1205931219 | Tracy Lee Klimisch | Physician Assistant | 3801 Vista Rd Ste 100, Pasadena, TX 77504-2160 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316408149 | Caitlin Demi Valverde | Nurse Practitioner | 3412 Burke Rd Ste 100, Pasadena, TX 77504 | 2019-03-26 |
| 1780164475 | Erin Osmus | Physical Therapist | 3434 Watter, Pasadena, TX 77504 | 2018-08-21 |
| 1184117103 | Lifealysis Kidney Care, LLC | Clinic/Center | 4300 Fairmont Pkwy Ste 100, Pasadena, TX 77504 | 2018-06-13 |
| 1477044253 | Karen Colleen Watkins | Registered Nurse | 3332 Plainview Drive, Pasadena, TX 77504 | 2018-05-28 |
| 1619465192 | Morgan Pharmacy | Pharmacy | 3316 Shaver St Ste 6, Pasadena, TX 77504 | 2018-04-30 |
| 1528566890 | Assured Imaging Women's Wellness of Southern Arizona, LLC | Clinic/Center | 4008 Vista Rd. Bldg B Suite B101, Pasadena, TX 77504 | 2018-01-31 |
| 1972015022 | Oasis Mind and Body | Psychiatry & Neurology | 3301 Plainview, 1, Pasadena, TX 77504 | 2017-10-30 |
| 1629503933 | Inner City Podiatry Professional Limited Liability Company | Podiatrist | 3801 Vista Rd Ste 180, Pasadena, TX 77504 | 2017-04-24 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1669911707 | Quetzalli Zavala | Nurse Practitioner | 3326 Watters Rd Bldg B, Pasadena, TX 77504 | 2017-02-22 |
| Find all providers in zip 77504 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194175281 | Holly Stabler | Physician Assistant | 150 W Dayton St Apt 4037, Pasadena, CA 91105-4555 | 2016-06-20 |
| 1235551995 | Theresa Sivers-teixeira | Physician Assistant | 625 South Fair Oaks, #400, Pasadena, CA 91105 | 2014-01-15 |
| 1679704548 | Diana A Perez | Physician Assistant | 5213 Center St, Pasadena, TX 77505-1866 | 2009-07-27 |
| 1366677254 | Yana Yarchuk | Physician Assistant | 65 N Madison Ave Ste 310, Pasadena, CA 91101-2050 | 2009-05-20 |
| 1861545352 | Mihaela Varga | Physician Assistant | 473 N Fair Oaks Ave, Pasadena, CA 91103-3621 | 2007-01-19 |
| 1255436366 | Bertha Campos | Physician Assistant | 3801 Vista Rd Ste 100, Pasadena, TX 77504-2160 | 2006-09-13 |
| 1619970191 | Andrew Vargas | Physician Assistant | 3315 Burke Rd, Ste 202, Pasadena, TX 77504-1823 | 2005-05-27 |
| 1265905236 | Nicole Fiss | Physician Assistant | 1045 N Lake Ave, Pasadena, CA 91104-4521 | 2019-01-02 |
| 1730670753 | Mary Katherine Byrd Armstrong | Physician Assistant | 4450 E Sam Houston Pkwy S Ste H2, Pasadena, TX 77505-3950 | 2018-05-24 |
| 1376086140 | Jasleen Kaur | Physician Assistant | 797 S Fair Oaks Ave, Pasadena, CA 91105-2617 | 2016-11-28 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.