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JASON ANTHONY CRUZ
NPI 1902474729
Counselor - Addiction (Substance Use Disorder) in San Fernando, CA

Active since June 16, 2021
762 GRISWOLD AVE, SAN FERNANDO, CA 91340(747) 500-9405 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 9, 2024, Jun 16, 2021 (2 updates tracked since 2021).

About Jason Anthony Cruz NPPES

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

JASON ANTHONY CRUZ (NPI 1902474729) is an individual addiction (substance use disorder) provider in San Fernando, California, licensed in California (4727) and active in the NPI registry since June 2021. He maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1902474729
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJASON ANTHONY CRUZ
Location Address762 GRISWOLD AVESan Fernando, CA 91340-2105
Mailing Address11443 Emelita St Apt 100North Hollywood, CA 91601-1112 · (213) 328-9785
Phone(747) 500-9405
Sole ProprietorYes
Enumeration DateJune 16, 2021
Last NPPES UpdateMay 9, 20242 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1902474729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 4727
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 4727 (CA)
762 GRISWOLD AVE, San Fernando, CA 91340
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Secondary Practice Location 1

Location 12521 Long Beach AveLos Angeles, CA 90058-1324 · Phone (213) 529-9063

Other Providers at the Same Location NPPES 19

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

MR. LUIS ROGELIO ROBLEDO RADT-I
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9415
ENRIQUE CRISTOBAL MENESES
Case Manager/Care Coordinator
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
JUAN FRANCISCO GARCIA JR.
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MR. CHARLES NICKELL
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
ADRIANNA RODRIGUEZ
Case Manager/Care Coordinator
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MARCOS RODRIGUEZ
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
DESMOND DEON DAVIS
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MARISOL EDITH NUNEZ M.S.
Marriage & Family Therapist
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405

Frequently Asked Questions

What is Jason Cruz's NPI number?

The NPI number assigned to this healthcare provider is 1902474729, enumerated as an "individual" on June 16, 2021.

Where is the provider located?

The provider is located at 762 GRISWOLD AVE SAN FERNANDO, CA 91340 and the phone number is (747) 500-9405.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).