Active NPI
James Edward Cruz, MD
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1225115389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G064975
- Practice address
- 500 Citadel Drive
Suite 490
Los Angeles, CA 90040 - Phone
- (323) 889-7388
- Fax
- (323) 889-7399
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- 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 Medicine Physician | 207Q00000X | G064975 | CA | Primary |
Addresses
Primary practice location
500 Citadel Drive
Suite 490
Los Angeles, CA 90040
Mailing address
217 W. Avenida Valencia
San Clemente, CA 92672
Phone (949) 842-4597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G064975 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225115389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 W. AVENIDA VALENCIA",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "92672",
"telephone_number": "949-842-4597",
"fax_number": "949-218-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CITADEL DRIVE",
"address_2": "SUITE 490",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90040",
"telephone_number": "323-889-7388",
"fax_number": "323-889-7399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G064975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.