MEDICARE: SABRINA ELENA CRUZ CMPSS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist	MPSS-TMFYDL	CA

General Provider Information

NPI Number	:	1790641579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SABRINA ELENA CRUZ CMPSS

Provider Business Mailing Address
First Line	:	7665 HARVEST WOODS DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95828-4838
Country	:	US
Telephone Number	:	909-243-0858
Fax Number	:

Provider Business Practice Location Address
First Line	:	7665 HARVEST WOODS DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95828-4838
Country	:	US
Telephone Number	:	909-243-0858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	12/24/2025

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