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MS. KAITLIN S CRUZ
NPI 1134560410
Marriage & Family Therapist in Oakland, CA

Active since July 15, 2013PECOS Enrolled
1415 FRUITVALE AVE, OAKLAND, CA 94601(510) 535-4000 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Kaitlin S Cruz NPPES

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

MS. KAITLIN S CRUZ (NPI 1134560410) is an individual marriage & family therapist in Oakland, California, licensed in California (99009) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1134560410
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. KAITLIN S CRUZ
Location Address1415 FRUITVALE AVEOakland, CA 94601-2320
Mailing AddressPo Box 22210Oakland, CA 94623-2210 · (510) 535-4000 · Fax (510) 535-4189
Phone(510) 535-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 15, 2013
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1134560410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 99009
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1415 FRUITVALE AVE, Oakland, CA 94601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kaitlin S Cruz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517421654
PECOS Enrollment IDI20260709004536
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kaitlin Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Clinica De La Raza, Inc.
0.1 mi
Federally Qualified Health Center (FQHC)
1501 FRUITVALE AVE
Oakland, CA 94601
  • Reassigned Medicare billing, California enrollment
  • 187 clinicians in this Medicare group
NPI 1174639116 (510) 535-6200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

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

HERRMELINDA D. AGUIAR
Community Health Worker
1415 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-8411
EMMAUEL LOPEZ-CRUZ
Community Health Worker
1415 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-8400
GEMA MENDOZA-MORALES
Health Educator
1415 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-8400
MISS MARINA GLORIA TORNER
Specialist (Research Data Abstracter/Coder)
1415 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-8402
AIXA ISABEL GUILLEN CUEVAS
Community Health Worker
1415 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-8400
MARVYN AREVALO
Community Health Worker
1415 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-6200
BRENDA S PEREZ
Community Health Worker
1415 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-8400
RAUL A PACHECO
Community Health Worker
1415 FRUITVALE AVE
OAKLAND, CA 94601
Alameda County (510) 535-8401

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 Kaitlin Cruz's NPI number?

The NPI number for Kaitlin Cruz is 1134560410. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Kaitlin Cruz located?

Kaitlin Cruz practices at 1415 Fruitvale Ave, Oakland, CA 94601. The listed phone number is (510) 535-4000.

What is Kaitlin Cruz's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kaitlin Cruz enrolled in Medicare?

Yes. Kaitlin Cruz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaitlin Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Cruz reassigns Medicare benefits to La Clinica De La Raza, Inc. (Oakland, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlin Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kaitlin Cruz was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.