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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: August 16, 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 20

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

MS. DOLORES BONNIE GUERRERO-REYNALDO LVN
Licensed Vocational Nurse
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
RICHARD KEITH JOHN 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
CAINE HERRERA
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
SAN FERNANDO RECOVERY CENTER
Substance Abuse Rehabilitation Facility
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MARTHA VANESSA ALMENDAREZ
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
RYAN CURIEL
Counselor (Addiction (Substance Use Disorder))
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405
MARINA NICOLETI
Student in an Organized Health Care Education/Training Program
762 GRISWOLD AVE
SAN FERNANDO, CA 91340
Los Angeles County (747) 500-9405

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 Jason Cruz's NPI number?

The NPI number for Jason Cruz is 1902474729. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Jason Cruz located?

Jason Cruz practices at 762 Griswold Ave, San Fernando, CA 91340. The listed phone number is (747) 500-9405.

What is Jason 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 Jason Cruz was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.