Estela Cruz, is a
Community Health Worker based in Stockton, California. Estela Cruz is licensed to practice in * (Not Available) (license number ) and her current practice location is
2423 W March Ln Ste 200, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(209) 478-9862.
NPI number for Estela Cruz is 1962017509 and her current mailing address is 2423 W March Ln Ste 200, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962017509.
Healthcare Provider's Profile
| Full Name | Estela Cruz |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 2423 W March Ln Ste 200, Stockton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962017509
- Provider Enumeration Date: 09/10/2020
- Last Update Date: 12/20/2023
Medical Identifiers
Medical identifiers for Estela Cruz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962017509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14514-RAC (California) | Secondary |
| 101Y00000X | Counselor | CG61105085 (Washington) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Estela Cruz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Estela Cruz,
2423 W March Ln Ste 200,
Stockton, CA 95207-8250
Ph: () - | Estela Cruz,
2423 W March Ln Ste 200,
Stockton, CA 95207-8250
Ph: (209) 478-9862 |
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