Individual provider Active NPI

Vina Sadang Cruz, D.O.

  • Family Medicine Physician
  • Redmond, WA
National Provider Identifier
1225273469
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
61185876 Issued in WA
Practice address
3925 159TH Ave NE BLDG 21
Redmond, WA 98052-6309
Phone
(425) 216-0550
NPI assigned
Dec 2, 2008
Last updated
Sep 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 61185876 WA Primary
Family Medicine Physician 207Q00000X 255656-1 NY

Addresses

Primary practice location

3925 159TH Ave NE BLDG 21
Redmond, WA 98052-6309

Mailing address

3925 159TH Ave NE BLDG 21
Redmond, WA 98052-6309
Phone (425) 216-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230717001374 WA Practitioner - Family Practice 9436336765 Reassigns benefits to 3 organizations
I20230725003526 TX Practitioner - Family Practice 9436336765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

6021 N Lidgerwood St
Spokane, WA 99208-1125
Phone (855) 722-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
61185876WAMDFamily Medicine Physician
255656-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tulalip Tribes of Washington CurrentSince May 31, 2023 Accepting new patients
Advanced Family Medicine, PLLC Family Medicine CurrentSince Jul 17, 2023 Accepting new patients
Post Acute Medical PLLC CurrentSince Oct 6, 2025 Accepting new patients
Tulalip Tribes of Washington Current Accepting new patients
Tulalip Tribes of Washington CurrentSince May 31, 2023 Accepting new patients
Pacific Northwest Medical Services PLLC CurrentSince Sep 1, 2025 Accepting new patients
Bel-Red Internal Medicine PLLC Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

2007 152nd Ave NE
Redmond, WA 98052
Phone (425) 453-6838

6021 N Lidgerwood St
Spokane, WA 99208
Phone (509) 489-3323

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

6406 Marine Dr
Ste A
Tulalip, WA 98271

7520 Totem Beach Rd
Tulalip, WA 98271
Phone (360) 651-4511

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGGCDD/Endpoint/EGGCDD
  • Direct secure messaging: vina.cruz@70976835354628.direct.elationemr.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1225273469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 159TH AVE NE BLDG 21",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526309",
            "telephone_number": "425-216-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 159TH AVE NE BLDG 21",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980526309",
            "telephone_number": "425-216-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "VINA",
        "middle_name": "SADANG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "61185876",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "255656-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.