Joanna Mae Cadiz De la Cruz, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

294717 Issued in CA

Practice address

403 W Adams Blvd
Los Angeles, CA 90007-2664

Phone

(213) 742-1450

NPI assigned

Nov 21, 2008

Last updated

May 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Joanna Mae Callates Cadiz Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Orthopaedic Hospital Medical Group Inc

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1942300918
  Medicare reassignment NPD
• Shriners Hospitals for Children

  dba Shriners for Children Rehabilitation Clinic

  • Rehabilitation Clinic/Center
  • Pasadena, CA
  • NPI 1972934008

  Physical Therapist

  Medicare reassignment NPD
• Orthopaedic Hospital

  dba Orthopaedic Institute for Children

  • Home Infusion Agency
  • Los Angeles, CA
  • NPI 1689632374
  NPD
• Shriners Hospitals for Children

  dba Shriners Children's Hawaii

  • Clinic/Center
  • Aiea, HI
  • NPI 1568299857
  NPD
• Shriners Hospitals for Children

  • Pediatric Orthopaedic Surgery Physician
  • Shreveport, LA
  • NPI 1568803732
  NPD (past)

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1427203140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20136 E ARROW HWY",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241102",
            "telephone_number": "347-479-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072664",
            "telephone_number": "213-742-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "JOANNA MAE",
        "middle_name": "CADIZ",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030189",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "294717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA MAE",
            "last_name": "CADIZ",
            "middle_name": "CALLATES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Denise De la Cruz
• Diana Lynn De la Cruz, PT
• Eduardo De la Cruz
• Janeth B. De la Cruz
• Jaquelin De la Cruz
• Johanna De la Cruz
• Kimberly De la Cruz
• Letisia De la Cruz, PA
• Louie Joseph De la Cruz
• Luis Enrique De la Cruz

• Pediatric Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.