Individual provider Active NPI

Olivia Laura Cruz

  • Physical Therapist
  • Diamond Bar, CA
National Provider Identifier
1003316969
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294419 Issued in CA
Practice address
21015 Pathfinder Rd Ste 100
Diamond Bar, CA 91765-4002
Phone
(909) 861-3511
NPI assigned
Feb 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 294419 CA Primary

Addresses

Primary practice location

21015 Pathfinder Rd Ste 100
Diamond Bar, CA 91765-4002

Mailing address

1921 Jennie LN
La Habra, CA 90631-3341
Phone (562) 665-4878

Other practice location 1

201 Sandpointe Ave
Santa Ana, CA 92707-5778
Phone (714) 557-9292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pomona Valley Orthopedic and Sports Physical Therapy, Inc Physical Therapist CurrentSince Jan 23, 2019 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
California Rehab & Sports Therapy CurrentSince Aug 29, 2022 Accepting new patients
Mariners Physical Therapy, Inc. Physical Therapist CurrentSince Feb 28, 2018 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther CurrentSince Aug 29, 2022 Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

21015 Pathfinder Rd
Ste 100
Diamond Bar, CA 91765
Phone 9098613511 ext. 305

201 Sandpointe Ave
Ste 130
Santa Ana, CA 92707
Phone (714) 557-9292

2101 E 4th St
#170
Santa Ana, CA 92705
Phone (714) 558-3977

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1003316969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 JENNIE LN",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313341",
            "telephone_number": "562-665-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21015 PATHFINDER RD STE 100",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654002",
            "telephone_number": "909-861-3511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Sandpointe Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927075778",
            "country_code": "US",
            "telephone_number": "714-557-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "OLIVIA",
        "middle_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-17",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.