Individual provider Active NPI

Erika Cruz, NP

  • Nurse Practitioner
  • Laguna Hills, CA
National Provider Identifier
1477946747
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95002152 Issued in CA
Practice address
24012 Calle de la Plata
Suite 120
Laguna Hills, CA 92653-3621
Phone
(949) 588-7246
Fax
(562) 427-7246
NPI assigned
Mar 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95002152 CA Primary

Addresses

Primary practice location

24012 Calle de la Plata
Suite 120
Laguna Hills, CA 92653-3621

Mailing address

24012 Calle de la Plata
Suite 120
Laguna Hills, CA 92653-3621
Phone (949) 588-7246

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
I20150409002495 CA Practitioner - Nurse Practitioner 3173841830 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95002152CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fariborz Shams, DO Inc. CurrentSince Feb 10, 2015 Accepting new patients
Anaheim Memorial Medical Center PastSince Feb 10, 2015 Accepting new patients

Locations

515 S Beach Blvd
Ste F
Anaheim, CA 92804
Phone (714) 995-7503

Interoperability endpoints

  • Direct secure messaging: erika.cruz.1@30710.direct.athenahealth.com
  • Direct secure messaging: erika.cruz.p7@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1477946747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA",
            "address_2": "SUITE 120",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533621",
            "telephone_number": "949-588-7246",
            "fax_number": "562-427-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA",
            "address_2": "SUITE 120",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533621",
            "telephone_number": "949-588-7246",
            "fax_number": "562-427-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ERIKA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.