Individual provider Active NPI

Cindy M De la Cruz, NP

  • Primary Care Nurse Practitioner
  • Salinas, CA
National Provider Identifier
1124638697
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95015784 Issued in CA
Practice address
1212 S Main St
Salinas, CA 93901-2260
Phone
(831) 422-7777
Fax
(831) 422-0136
NPI assigned
Aug 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95015784 CA Primary
Registered Nurse 163W00000X 95099034 CA

Addresses

Primary practice location

1212 S Main St
Salinas, CA 93901-2260

Mailing address

1212 S Main St
Salinas, CA 93901-2260
Phone (831) 422-7777

Other practice location 1

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

Other practice location 2

558 Abbott St Ste A
Salinas, CA 93901-4326
Phone (831) 755-7880

Other identifiers 1

IdentifierTypeStateIssuer
1124638697MedicaidCA

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201210001396 CA Practitioner - Nurse Practitioner 2567874894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monterey Bay Gi Consultants Medical Group Inc 21 clinicians

Practice addresses (Care Compare)

23 Upper Ragsdale Dr
Suite 200
Monterey, CA 93940-7849
Phone (831) 375-3577

Hospital & facility affiliations

  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145

Merit-based Incentive Payment System (MIPS)

Final score
86.92 of 100Reported as group
Quality
75.78
Promoting interoperability
98
Improvement activities
40
Cost
76.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95099034CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors on Duty Medical Group, Inc CurrentSince Dec 14, 2020 Accepting new patients
Monterey Bay Gi Consultants Medical Group Inc. CurrentSince Apr 18, 2022 Accepting new patients
Salinas Urgent Care PastSince Dec 14, 2020 Accepting new patients

Locations

3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

23 Upper Ragsdale Dr
Ste 200
Monterey, CA 93940
Phone 8313753577102

601 E Romie Ln
Ste 1
Salinas, CA 93901
Phone (831) 374-3577

1212 S Main St
Salinas, CA 93901
Phone (831) 422-7777

558 Abbott St
#A
Salinas, CA 93901
Phone (831) 242-8645

Interoperability endpoints

  • Direct secure messaging: cindy.de.la.cruz.1@11462.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11462/brand/2/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1124638697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012260",
            "telephone_number": "831-422-7777",
            "fax_number": "831-422-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012260",
            "telephone_number": "831-422-7777",
            "fax_number": "831-422-0136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Mowry Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381716",
            "country_code": "US",
            "telephone_number": "510-797-1111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "558 Abbott St Ste A",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939014326",
            "country_code": "US",
            "telephone_number": "831-755-7880",
            "fax_number": "831-755-7886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "CINDY",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95015784",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95099034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124638697",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.