Lucita M Cruz MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A37419 Issued in CA

Legal business name

LUCITA M CRUZ MD INC

Practice address

12507 Alondra Blvd
Norwalk, CA 90650-7351

Phone

(562) 802-2203

Fax

(562) 404-8555

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Lucita Cruz, MDNPI 1770526477

Title

Owner

Phone

(562) 802-2203

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucita Menchavez Cruz, MD

  • Internal Medicine Physician
  • Norwalk, CA
  • NPI 1770526477
  Medicare reassignment NPD Authorized official
• Keith William Bajamundi

  • Family Nurse Practitioner
  • Buena Park, CA
  • NPI 1558991844

  Multi-Specialty

  Medicare reassignment NPD
• Alma Judith Cruz, NP

  • Primary Care Nurse Practitioner
  • Long Beach, CA
  • NPI 1811793524

  Multi-Specialty

  Medicare reassignment NPD
• Jennifer Cruz, NP

  • Internal Medicine Physician
  • Norwalk, CA
  • NPI 1689309130
  Medicare reassignment NPD
• Jan Marie D Ojacastro, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Norwalk, CA
  • NPI 1336915693
  Medicare reassignment NPD

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1114229762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12507 ALONDRA BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906507351",
            "telephone_number": "562-802-2203",
            "fax_number": "562-404-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12507 ALONDRA BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906507351",
            "telephone_number": "562-802-2203",
            "fax_number": "562-404-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCITA M CRUZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "LUCITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-802-2203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37419",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A37419",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA SECRETARY OF STATE",
            "identifier": "C1729665",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loving Arms Residential Care I
• James C. Lu, MD
• Isabella Luanava
• Murni Lubis, MD
• Montiela Lucas
• Sherri Christine Lugo
• Diana Luisa Lujan, DOCTOR
• Gabriela Luna
• Larissa Renay Luna
• Mercedes Luna

• Family Medicine Physician in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.