Individual provider Active NPI

Steve Haigen Cruz Tiu, FNP-C

  • Family Nurse Practitioner
  • Pomona, CA
National Provider Identifier
1457841090
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
690776 Issued in CA
Practice address
2895 N Towne Ave
Pomona, CA 91767-2009
Phone
(909) 625-2919
NPI assigned
May 17, 2018
Last updated
Oct 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 690776 CA Primary

Addresses

Primary practice location

2895 N Towne Ave
Pomona, CA 91767-2009

Mailing address

317 Laurel Ave
Arcadia, CA 91006-2518
Phone (323) 369-4363

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710003048 CA Practitioner - Nurse Practitioner 2062835887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neurology Group IncGroup PAC ID 1052544152, 19 clinicians

Practice addresses (Care Compare)

2895 N Towne Ave
Pomona, CA 91767-2009
Phone (909) 267-7495

630 N 13TH Ave
Suite B
Upland, CA 91786-4978
Phone (909) 982-2719

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
690776CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: steve.tiu.1@29399.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1457841090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 LAUREL AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062518",
            "telephone_number": "323-369-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2895 N TOWNE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672009",
            "telephone_number": "909-625-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIU",
        "first_name": "STEVE",
        "middle_name": "HAIGEN CRUZ",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "690776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.