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MR. JOSE DE LA CRUZ
NPI 1104205699
Counselor - Addiction (Substance Use Disorder) in Indio, CA

Active since May 29, 2015
45550 GRACE ST, INDIO, CA 92201(760) 342-1233(760) 322-4554 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jose De La Cruz NPPES

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

MR. JOSE DE LA CRUZ (NPI 1104205699) is an individual addiction (substance use disorder) provider in Indio, California, licensed in California (CADTP#1483) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1104205699
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. JOSE DE LA CRUZ
Location Address45550 GRACE STIndio, CA 92201-4610
Mailing Address45550 Grace StIndio, CA 92201-4610 · (760) 342-1233 · Fax (760) 322-4554
Phone(760) 342-1233
Fax(760) 322-4554
Sole ProprietorYes
Enumeration DateMay 29, 2015
✔ NPI 1104205699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · CADTP#1483
45550 GRACE ST, Indio, CA 92201
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Other Providers at the Same Location NPPES 6

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

STEPHEN DYLLON REEDER
Counselor (Addiction (Substance Use Disorder))
45550 GRACE ST
INDIO, CA 92201
Riverside County (760) 342-1233
TODD R NELSON CADCII
Counselor (Addiction (Substance Use Disorder))
45550 GRACE ST
INDIO, CA 92201
Riverside County (513) 967-6834
MS. MARY DEHAR
Counselor (Addiction (Substance Use Disorder))
45550 GRACE ST
INDIO, CA 92201
Riverside County (760) 342-1233
MR. FERNANDO MONTOYA
Counselor (Addiction (Substance Use Disorder))
45550 GRACE ST
INDIO, CA 92201
Riverside County (760) 342-1233
THE AWARENESS PROGRAM
Counselor (Addiction (Substance Use Disorder))
45550 GRACE ST
INDIO, CA 92201
Riverside County (760) 342-1233
LUPE DURAN-EASON
Case Manager/Care Coordinator
45550 GRACE ST
INDIO, CA 92201
Riverside County (760) 342-1233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose De La Cruz's NPI number?

The NPI number for Jose De La Cruz is 1104205699. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Jose De La Cruz located?

Jose De La Cruz practices at 45550 Grace St, Indio, CA 92201. The listed phone number is (760) 342-1233.

What is Jose De La Cruz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jose De La Cruz was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.