NPIMap

Organization Active NPI

Julius a Cruz, MD, Inc.

  • Surgery Physician
  • Victorville, CA
National Provider Identifier
1114072337
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A26021 Issued in CA
Legal business name
JULIUS A CRUZ, MD, INC.
Practice address
15203 11TH St
Suite C
Victorville, CA 92395-3737
Phone
(760) 245-9714
Fax
(760) 245-2539
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Julius A Cruz, M.D.
Title
President
Phone
(760) 245-9714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A26021 CA Primary

Addresses

Primary practice location

15203 11TH St
Suite C
Victorville, CA 92395-3737

Mailing address

PO Box 1483
Victorville, CA 92393-1483
Phone (760) 245-9714

Other identifiers 1

IdentifierTypeStateIssuer
00A260210MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1114072337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1483",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923931483",
            "telephone_number": "760-245-9714",
            "fax_number": "760-245-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15203 11TH ST",
            "address_2": "SUITE C",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953737",
            "telephone_number": "760-245-9714",
            "fax_number": "760-245-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIUS A CRUZ, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JULIUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-245-9714",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A26021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A260210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.