Active NPI
Elisa Cruz, PA-C
- Physician Assistant
- Oregon City, OR
National Provider Identifier
1508255910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 170892
- Practice address
- 1508 Division St Ste 105
Oregon City, OR 97045-1584 - Phone
- (503) 656-0836
- Fax
- (503) 656-9464
- NPI assigned
- Jan 22, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 170892 | OR | Primary |
Addresses
Primary practice location
1508 Division St Ste 105
Oregon City, OR 97045-1584
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6480
Other practice location 1
7401 SW Washo Ct Ste 100
Tualatin, OR 97062-8342
Phone (503) 656-0836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.65 of 100
- Quality
- 86.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170892 | OR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1508255910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 DIVISION ST STE 105",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451584",
"telephone_number": "503-656-0836",
"fax_number": "503-656-9464"
}
],
"practiceLocations": [
{
"address_1": "7401 SW Washo Ct Ste 100",
"address_purpose": "LOCATION",
"city": "Tualatin",
"state": "OR",
"postal_code": "970628342",
"country_code": "US",
"telephone_number": "503-656-0836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "ELISA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "170892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.