Active NPI
Nathan Ongaco Cruz, DMD
- Dentist
- Bakersfield, CA
National Provider Identifier
1285203166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 106255
- Practice address
- 3500 Truxtun Ave
Bakersfield, CA 93301-3018 - Phone
- (661) 407-8409
- NPI assigned
- Jun 23, 2021
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 106255 | CA | Primary |
Addresses
Primary practice location
3500 Truxtun Ave
Bakersfield, CA 93301-3018
Mailing address
1720 E Albreda St
Carson, CA 90745-1818
Phone (310) 940-7160
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106255 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1285203166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 E ALBREDA ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907451818",
"telephone_number": "310-940-7160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 TRUXTUN AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013018",
"telephone_number": "661-407-8409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "NATHAN",
"middle_name": "ONGACO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "106255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.