Ernesto Cruz, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G49014 Issued in CA

Practice address

1684 Plum LN
Suite 101
Redlands, CA 92374-4596

Phone

(909) 475-5800

Fax

(909) 475-5805

NPI assigned

Nov 26, 2005

Last updated

Jul 2, 2015By 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 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Namita Mohideen MD Inc

  • Primary Care Clinic/Center
  • Fontana, CA
  • NPI 1649546144
  Medicare reassignment NPD
• Loma View Pediatric Medical Clinic, Inc.

  • Clinic/Center
  • Redlands, CA
  • NPI 1902928393
  Authorized official Same address or phone
• Dignity Health

  dba St. Bernardine Medical Center

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)
• Golden State Primary Care Inc

  • General Practice Physician
  • Fontana, CA
  • NPI 1124987201

  Pediatrics

  NPD (past)
• Loma Linda University Medical Center

  • General Acute Care Hospital
  • Loma Linda, CA
  • NPI 1194731935
  NPD (past)

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

{
    "created_epoch": "1132963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1124001888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 PLUM LN",
            "address_2": "SUITE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744596",
            "telephone_number": "909-475-5800",
            "fax_number": "909-475-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 PLUM LN",
            "address_2": "SUITE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744596",
            "telephone_number": "909-475-5800",
            "fax_number": "909-475-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-26",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G49014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0051840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mendy May Crocker, LMFT
• Cross Cultural Marriage and Familytherapy Counselling Ce
• David R Croughan, M.D.
• Lucille Crowder, LMFT
• Chad Nathan Cruz
• Sheena Cruz, MD, MPH
• Carolyn Cullen, PPS COUNSELING
• Monica M Cundiff, PSS
• Keith Andrew Cunningham, RN
• Curaderm Inc

• Pediatrics Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.