MEDICARE: MARICRUZ CEDANO

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	171M00000X	Case Manager/Care Coordinator		CA

General Provider Information

NPI Number	:	1831051549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARICRUZ CEDANO

Provider Business Mailing Address
First Line	:	1501 FRUITVALE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94601-2322
Country	:	US
Telephone Number	:	510-535-6200
Fax Number	:	510-535-4167

Provider Business Practice Location Address
First Line	:	1501 FRUITVALE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94601-2322
Country	:	US
Telephone Number	:	510-535-6200
Fax Number	:	510-535-4167

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

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	01/26/2026

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Directions to “ MARICRUZ CEDANO ” Practice Location

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