NPIMap

Individual provider Active NPI

Christian Cosca Cruz, MD

  • Nephrology Physician
  • Daly City, CA
National Provider Identifier
1023182227
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A96754 Issued in CA
Practice address
1498 Southgate Ave
Suite 102
Daly City, CA 94015-4015
Phone
(650) 755-4490
Fax
(650) 755-2920
NPI assigned
Nov 20, 2006
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A96754 CA Primary

Addresses

Primary practice location

1498 Southgate Ave
Suite 102
Daly City, CA 94015-4015

Mailing address

2149 E Warner Rd Ste 102
Tempe, AZ 85284-3495
Phone (480) 393-0309

Other identifiers 6

IdentifierTypeStateIssuer
ZZZ86010ZOtherCAWEST BAY NEPHROLOGY ASSOCIATES'S TAX ID
ZZZ04539ZOtherCAMEDICARE GROUP
1023182227MedicaidCA
1316099658OtherCAGROUP NPI
ZZZ27071ZOtherCAGROUP CA MEDICARE
1336117829OtherCAWEST BAY NEPHROLOGY ASSOCIATES'S NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070127000053 CA Practitioner - NephrologyPractitioner - Internal Medicine 9436150802 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Coast KidneyGroup PAC ID 1759700149, 56 clinicians
San Mateo Dialysis AssociatesGroup PAC ID 5193719268, 7 clinicians

Practice addresses (Care Compare)

1498 Southgate Ave
Suite 102
Daly City, CA 94015-4015
Phone (650) 755-4490

1750 El Camino Real
Suite 15
Burlingame, CA 94010-3208
Phone (650) 692-6302

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.1 of 100Reported as group
Quality
77.33
Promoting interoperability
99
Improvement activities
40
Cost
77.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A96754CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Mateo Dialysis Associates Nephrology CurrentSince May 1, 2010 Accepting new patients
West Bay Nephrology Associates Nephrology CurrentSince Jul 22, 2009 Accepting new patients
Peninsula Dialysis Access Center Current Accepting new patients
Dignity Health CurrentSince Jul 27, 2009 Accepting new patients
UCSF Health Community Hospitals CurrentSince Jul 27, 2009 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Diablo Nephrology Medical Group, Inc Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
Seton Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Seton Medical Center Coatside Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

1750 El Camino Real
Ste 15
Burlingame, CA 94010
Phone (650) 570-2273

1860 El Camino Real
Ste 321
Burlingame, CA 94010
Phone (650) 552-8180

1498 Southgate Ave
#102
Daly City, CA 94015
Phone (650) 755-4490

2235 Hayes St
Fl 5
San Francisco, CA 94117
Phone (415) 750-5500

2250 Hayes St
Ste 612
San Francisco, CA 94117
Phone (415) 268-3208

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

91 Westborough Blvd
Ste 1010
South San Francisco, CA 94080
Phone (650) 241-8671

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: christian.cruz.1@8243.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11865/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/17475/brand/1/csg/1/fhir/r4

Organizations & group practices 16

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

View all 16

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1023182227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 E WARNER RD STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843495",
            "telephone_number": "480-393-0309",
            "fax_number": "480-610-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SOUTHGATE AVE",
            "address_2": "SUITE 102",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154015",
            "telephone_number": "650-755-4490",
            "fax_number": "650-755-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CHRISTIAN",
        "middle_name": "COSCA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A96754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST BAY NEPHROLOGY ASSOCIATES'S TAX ID",
            "identifier": "ZZZ86010Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "ZZZ04539Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023182227",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1316099658",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP CA MEDICARE",
            "identifier": "ZZZ27071Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST BAY NEPHROLOGY ASSOCIATES'S NPI",
            "identifier": "1336117829",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.