Lydia Cruz, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A26050 Issued in CA

Practice address

15248 11TH St
Victorville, CA 92395-3704

Phone

(760) 245-8691

Fax

(761) 843-6050

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Anesthesiology

Education

Other, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orange Coast Anesthesia IncGroup PAC ID 2466613591, 85 clinicians

Seven Star Hospital Associates IncGroup PAC ID 4789083338, 129 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Victor Valley Global Medical Center Hospital, Victorville, CA, CCN 050517

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Orange Coast Anesthesia Inc

  • Anesthesiology Physician
  • Orange, CA
  • NPI 1508138256
  Medicare reassignment Care Compare group NPD
• Seven Star Hospital Associates Inc.

  • Diagnostic Radiology Physician
  • Hemet, CA
  • NPI 1043813140
  Medicare reassignment Care Compare group

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

• Victor Valley Hospital Acquisition, Inc.

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1679879589
  Care Compare affiliation

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1164547972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60790",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911166790",
            "telephone_number": "818-845-6206",
            "fax_number": "626-396-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15248 11TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953704",
            "telephone_number": "760-245-8691",
            "fax_number": "761-843-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "LYDIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A26050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A260500",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERT VISTA NPI",
            "identifier": "1164547972",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everette Denette Crudup
• Alexander Cruise, MD
• Luis Alberto Cruz Moreno, MD
• Breanna Cruz
• Julius A Cruz, M.D.
• Michael C Cruz, DC
• Maria Cuevas-Altamirano, FNP-C
• Klarissa Cuevas
• Marisol Cuevas
• Felisha Cullum, MA

• Anesthesiology Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.