Organization Active NPI

Marilou G Cruz MD Inc

  • Primary Care Clinic/Center
  • Downey, CA
National Provider Identifier
1619232808
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A44484 Issued in CA
Legal business name
MARILOU G CRUZ MD INC
Practice address
9317 Firestone Blvd
Downey, CA 90241-5322
Phone
(562) 861-1245
Fax
(562) 904-1299
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Marilou Gegare Cruz, MD
Title
President
Phone
(562) 861-1245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A44484 CA Primary

Addresses

Primary practice location

9317 Firestone Blvd
Downey, CA 90241-5322

Mailing address

8535 Florence Ave Ste 201
Downey, CA 90240-4014
Phone (562) 861-1245

Other practice location 1

8535 Florence Ave Ste 201
Downey, CA 90240-4014
Phone (562) 861-1245

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0861211Marilou G Cruz MD Inc9317 Firestone Blvd, Downey, CA 90241Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

9317 Firestone Blvd
#101
Downey, CA 90241

8535 Florence Ave
Ste 201
Downey, CA 90240
Phone (562) 861-1245

9317 Firestone Blvd
Downey, CA 90241
Phone (562) 861-1245

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1619232808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 FLORENCE AVE STE 201",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404014",
            "telephone_number": "562-861-1245",
            "fax_number": "562-904-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9317 FIRESTONE BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415322",
            "telephone_number": "562-861-1245",
            "fax_number": "562-904-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8535 Florence Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902404014",
            "country_code": "US",
            "telephone_number": "562-861-1245",
            "fax_number": "562-904-1299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARILOU G CRUZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_middle_name": "GEGARE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-861-1245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A44484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.

Verify at the official NPI Registry.