Active NPI
Martin Emmanuel Cruz, PT, DPT
- Physical Therapist
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT298128
- Practice address
- 1 Peters Canyon Rd Ste 120
Irvine, CA 92606-1748 - Phone
- (949) 679-3988
- NPI assigned
- Feb 22, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT298128 | CA | Primary |
Addresses
Primary practice location
1 Peters Canyon Rd Ste 120
Irvine, CA 92606-1748
Mailing address
1762 Green Meadow Ave
Tustin, CA 92780-6661
Phone (714) 489-7542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10540 Talbert Ave
Suite 250W
Fountain Valley, CA 92708-6045
Phone (714) 964-0727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT298128 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Cal Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Select Cal Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Select Cal Physical Therapy PC | Current | Accepting new patients |
Locations
1470 Civic Ct
Ste 320
Concord, CA 94520
Phone (925) 326-2211
9281 Office Park Cir
Ste 100
Elk Grove, CA 95758
Phone (916) 892-1330
2420 Martin Rd
Ste 380
Fairfield, CA 94534
Phone (707) 437-9001
10540 Talbert Ave
Ste 250W
Fountain Vly, CA 92708
Phone (714) 964-0727
4870 Barranca Pkwy
Ste 340
Irvine, CA 92604
Phone (949) 653-7878
10459 Mountain View Ave
Ste G
Loma Linda, CA 92354
Phone (909) 478-9508
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
360 Dardanelli Ln
Ste 1F
Los Gatos, CA 95032
Phone (408) 374-8823
929 Pacific St
Monterey, CA 93940
Phone (831) 373-1209
268 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 591-9581
6180 Brockton Ave
Ste 101
Riverside, CA 92506
Phone (951) 781-6653
1331 Medical Center Dr
Ste A
Rohnert Park, CA 94928
Phone (707) 584-3433
1700 California St
Ste 530
San Francisco, CA 94109
Phone (415) 921-1758
707 Lincoln Ctr
Stockton, CA 95207
Phone (209) 470-5101
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Los Gatos, CA
- NPI 1417619008
Physical Therapist
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapy Clinic/Center
- Morgan Hill, CA
- NPI 1487317004
Physical Therapist
-
- Physical Therapy Clinic/Center
- Rohnert Park, CA
- NPI 1932875267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582329600000",
"number": "1447884093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1762 GREEN MEADOW AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806661",
"telephone_number": "714-489-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PETERS CANYON RD STE 120",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061748",
"telephone_number": "949-679-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "MARTIN",
"middle_name": "EMMANUEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-22",
"last_updated": "2020-02-22",
"certification_date": "2020-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT298128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.