Michele Dela Cruz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT 4703 Issued in CA

Practice address

5480 Marengo Ave
La Mesa, CA 91942-2408

Phone

(619) 463-0281

NPI assigned

Jan 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1073790168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 BRABHAM ST APT 909",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194480",
            "telephone_number": "619-249-6685",
            "fax_number": "619-825-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 MARENGO AVE",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422408",
            "telephone_number": "619-463-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "MICHELE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT 4703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia K Deckert, D O
• Tammy Decristo, LCSW
• Lester Montante Deguzman, MD
• Fatma V Deif, M.D.
• Del Mar Diagnostics, Inc
• Nelson Regala Deleon, DDS
• Kevin Matthew Delgadillo, PA-C
• Deluxe Medical Supply LLC
• Carina Demanigold
• Denise a Honer M.D. Inc

• Physical Therapy Assistant in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.