Active NPI
Irene Elizabeth Cruz, NP-C
- Family Nurse Practitioner
- Rancho Cucamonga, CA
National Provider Identifier
1184176307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95005343
- Practice address
- 8241 Rochester Ave
Suite 110
Rancho Cucamonga, CA 91730-0700 - Phone
- (909) 989-2273
- NPI assigned
- Nov 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95005343 | CA | Primary |
Addresses
Primary practice location
8241 Rochester Ave
Suite 110
Rancho Cucamonga, CA 91730-0700
Mailing address
8241 Rochester Avenue
Suite 110
Rancho Cucamonga, CA 91730
Phone (909) 989-2273
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cruz Hospice Care Inc. | Current | Accepting new patients | |
| East Valley Community Health Center, Inc. | Current | Accepting new patients | |
| East Valley Community Health Center, Inc. | Current | Accepting new patients | |
| Cruz Home Health Care LLC | Current | Accepting new patients | |
| Caring Family Medicine Inc | Past | Accepting new patients |
Locations
276 W College St
Covina, CA 91723
Phone (626) 869-2474
1555 S Garey Ave
Pomona, CA 91766
Phone (909) 620-8088
420 S Glendora Ave
West Covina, CA 91790
Phone (626) 919-5724
Interoperability endpoints
- irene.cruz.p1@direct.evchc.nextgenshare.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- West Covina, CA
- NPI 1831243625
-
- Home Health Agency
- Ontario, CA
- NPI 1073225744
-
- Community Based Hospice Care Agency
- Ontario, CA
- NPI 1336752849
-
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1639066491
-
- Federally Qualified Health Center (FQHC)
- Pomona, CA
- NPI 1649324443
-
- Family Medicine Physician
- Rancho Cucamonga, CA
- NPI 1821389990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1184176307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8241 ROCHESTER AVENUE",
"address_2": "SUITE 110",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "91730",
"telephone_number": "909-989-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8241 ROCHESTER AVE",
"address_2": "SUITE 110",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300700",
"telephone_number": "909-989-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "IRENE",
"middle_name": "ELIZABETH",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-04",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95005343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.