Alexander Cruise, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A169388 Issued in CA

Practice address

16850 Bear Valley Rd
Victorville, CA 92395-5794

Phone

(760) 241-8000

NPI assigned

Apr 12, 2016

Last updated

Nov 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andy Shen MD IncGroup PAC ID 8527164482, 22 clinicians

Emergency Physicians of San Gabriel ValleyGroup PAC ID 4082023726, 21 clinicians

Gem Medical Group CorporationGroup PAC ID 3072984400, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monterey Park Hospital Hospital, Monterey Park, CA, CCN 050736
• Greater El Monte Community Hospital Hospital, South El Monte, CA, CCN 050738
• Alhambra Hospital Medical Center Hospital, Alhambra, CA, CCN 050281
• San Gabriel Valley Medical Center Hospital, San Gabriel, CA, CCN 050132

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexander.cruise.p1@direct.dvmg.nextgenshare.com

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.

• Andy Shen, M.D., Inc.

  dba Shen Medical Group

  • Emergency Medicine Physician
  • Alhambra, CA
  • NPI 1457427221
  Medicare reassignment Care Compare group NPD
• Emergency Physicians of San Gabriel Valley

  • Emergency Medicine Physician
  • San Gabriel, CA
  • NPI 1366021834
  Medicare reassignment Care Compare group NPD
• Gem Medical Group Corporation

  • Emergency Medicine Physician
  • Whittier, CA
  • NPI 1689364721
  Medicare reassignment Care Compare group NPD
• Desert Valley Medical Group, Inc.

  • Physical Therapist
  • Victorville, CA
  • NPI 1639117864
  Medicare reassignment NPD
• East Valley Emergency Medical Associates, Inc

  • Emergency Medicine Physician
  • Whittier, CA
  • NPI 1346287430
  Medicare reassignment NPD
• Michael S. Agron, M.D., Inc.

  • Emergency Medicine Physician
  • Arcadia, CA
  • NPI 1699716100
  Medicare reassignment NPD
• Desert Valley Medical Group, Inc

  • Internal Medicine Physician
  • Victorville, CA
  • NPI 1952020315
  NPD
• Desert Valley Medical Group, Inc.

  • Internal Medicine Physician
  • Victorville, CA
  • NPI 1801848452

  Emergency Medicine

  NPD
• Gem Medical Group Corporation

  dba GEM Medical Group

  • Emergency Medicine Physician
  • Monterey Park, CA
  • NPI 1689386815
  NPD (past)

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

• Ahmc Greater El Monte Community

  • General Acute Care Hospital
  • South El Monte, CA
  • NPI 1346232881
  Care Compare affiliation
• Ahmc Monterey Park Hospital LP

  dba Monterey Park Hospital

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1780676221
  Care Compare affiliation
• Ahmc San Gabriel Valley Medical

  dba AHMC San Gabreil Valley Medical Center, LP

  • General Acute Care Hospital
  • San Gabriel, CA
  • NPI 1275720377
  Care Compare affiliation
• Alhambra Hospital Medical Center, LP

  • General Acute Care Hospital
  • Alhambra, CA
  • NPI 1770612756
  Care Compare affiliation

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1114381530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 FOOTHILL BLVD UNIT 404",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16850 BEAR VALLEY RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955794",
            "telephone_number": "760-241-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "LA",
            "postal_code": "712953344",
            "country_code": "US",
            "telephone_number": "240-686-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "240-686-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8304 Osage Ter",
            "address_purpose": "LOCATION",
            "city": "Adelphi",
            "state": "MD",
            "postal_code": "207831757",
            "country_code": "US",
            "telephone_number": "202-486-3679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUISE",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "312697",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A169388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Crocker
• Allison R Croke
• Crosssav Surgical Center Inc
• Holly Marie Croteau, RN
• Everette Denette Crudup
• Luis Alberto Cruz Moreno, MD
• Breanna Cruz
• Julius A Cruz, M.D.
• Lydia Cruz, M.D.
• Michael C Cruz, DC

• Emergency Medicine Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.