Julius A Cruz, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A26021 Issued in CA

Practice address

15203 11TH St
Ste C
Victorville, CA 92395-3737

Phone

(760) 245-9714

Fax

(760) 245-2539

NPI assigned

Jun 24, 2005

Sex

Male

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Keith Mark Gross MD Inc

  • Dermatology Physician
  • Victorville, CA
  • NPI 1871658278
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1346246238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1483",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923931483",
            "telephone_number": "760-245-9714",
            "fax_number": "760-245-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15203 11TH ST",
            "address_2": "STE C",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953737",
            "telephone_number": "760-245-9714",
            "fax_number": "760-245-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JULIUS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A26021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A260210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Marie Croteau, RN
• Everette Denette Crudup
• Alexander Cruise, MD
• Luis Alberto Cruz Moreno, MD
• Breanna Cruz
• Lydia Cruz, M.D.
• Michael C Cruz, DC
• Maria Cuevas-Altamirano, FNP-C
• Klarissa Cuevas
• Marisol Cuevas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.

Verify at the official NPI Registry.