| Isaiah Antonio Cruz, PMHNP, FNP-C | |
|
1390 Market St Ste 200, San Francisco, CA 94102-5404 | |
| (877) 627-0369 | |
| Not Available |
| Full Name | Isaiah Antonio Cruz |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1390 Market St Ste 200, San Francisco, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598217176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71006657A (Indiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61127400 (Washington) | Primary |
| Entity Name | Cleanslate Medical Group Of Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023464294 PECOS PAC ID: 4880963909 Enrollment ID: O20171023001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Isaiah Antonio Cruz, PMHNP, FNP-C 10629 Springtide Way, Fort Wayne, IN 46845-9441 Ph: (419) 576-7973 | Isaiah Antonio Cruz, PMHNP, FNP-C 1390 Market St Ste 200, San Francisco, CA 94102-5404 Ph: (877) 627-0369 |
Dr. Elizabeth Marlow, PHD, C-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Bryant Street, San Francisco, CA 94107 Phone: 415-575-4326 Fax: 415-575-4326 | |
Roberto Mejias, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1975 4th St, San Francisco, CA 94143 Phone: 415-353-1954 Fax: 415-476-4102 | |
Catherine Ramsdell, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Parnassus Ave, San Francisco, CA 94143 Phone: 415-353-1000 | |
Greg Roussett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 490 Post St, San Francisco, CA 94102 Phone: 415-296-5290 | |
Natalya Malyuga, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Capp St, San Francisco, CA 94110 Phone: 415-841-1427 | |
Erin Maureen Smith, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 Market St, San Francisco, CA 94103 Phone: 415-863-3883 | |
Ms. Moensania Carisa Phillips, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Embarcadero Ctr Lbby Level, San Francisco, CA 94111 Phone: 888-663-6331 |