DEREK MATTHEW SANTA CRUZ - NPI 1093283376 - Counselor in Stockton, CA

Q: What is Derek Santa Cruz's NPI number?

The NPI number for Derek Santa Cruz is 1093283376. It was assigned to this individual provider in the NPPES registry on November 5, 2018.

Q: What is Derek Santa Cruz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Derek Santa Cruz was last updated on November 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Derek Matthew Santa Cruz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK MATTHEW SANTA CRUZ (NPI 1093283376) is an individual mental health provider in Stockton, California and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1093283376

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameDEREK MATTHEW SANTA CRUZ

Location Address2495 W MARCH LN STE 125Stockton, CA 95207-8224

Mailing Address2495 W March Ln Ste 125Stockton, CA 95207-8224 · (209) 465-1080

Phone(209) 465-1080

Sole ProprietorYes

Enumeration DateNovember 5, 2018

✔ NPI 1093283376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2495 W MARCH LN STE 125, Stockton, CA 95207

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE GERBER

Counselor (Mental Health)