Active NPI
Edwin A Cruz, MD
- Neurology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A65646
- Practice address
- 3000 Q St FL 4
Sacramento, CA 95816-7058 - Phone
- (916) 733-3372
- Fax
- (916) 733-5743
- NPI assigned
- Oct 24, 2006
- Last updated
- Mar 13, 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A65646 | CA | Primary |
Addresses
Primary practice location
3000 Q St FL 4
Sacramento, CA 95816-7058
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Phone (916) 861-1486
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0151918 | Medicaid | MT | |
| A65646 | Other | CA | MEDICAL STATE LICENSE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Saint Louis University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1650 Creekside Dr
Folsom, CA 95630-3400
Phone (916) 983-7476
1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800
1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800
3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319
3400 Data Dr
Rancho Cordova, CA 95670-7956
4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4414
6501 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 537-5190
6511 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 556-3300
6555 Coyle Ave
Carmichael, CA 95608-0302
7500 Hospital Dr
Sacramento, CA 95823-5403
Phone (916) 423-6176
Hospital & facility affiliations
- Mercy General Hospital
- Methodist Hospital of Sacramento
- Mercy San Juan Medical Center
- Mercy Hospital of Folsom
- Sierra Nevada Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A65646 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Advanced Neurology Specialists PLLC | Neurology | Past | Accepting new patients |
| Dignity Community Care | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
6555 Coyle Ave
Ste 390
Carmichael, CA 95608
Phone (916) 536-2596
8220 Wymark Dr
Ste 200
Elk Grove, CA 95757
Phone (916) 667-0600
3400 Data Dr
Fl 1
Rancho Cordova, CA 95670
Phone (916) 379-2726
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
3000 Q St
Fl 4
Sacramento, CA 95816
Phone (916) 733-3359
Organizations & group practices 9
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.
-
dba Mercy Medical Group, a service of Dignity Health Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
dba Dignity Health Medical Group - North State, a service of Dignity Healt
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
dba Methodist Hospital of Sacramento
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
dba Woodland Healthcare Home Health
- Home Health Agency
- Woodland, CA
- NPI 1851494231
-
dba Mercy San Juan Medical Center
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
dba Ucsd Medical Center Pharmacy
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Neurology Physician
- Great Falls, MT
- NPI 1811062870
-
dba Methodist Hospital
- Rehabilitation Hospital Unit
- San Antonio, TX
- NPI 1134166069
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Hospital of Sacramento
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
dba Mercy San Juan Medical Center
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
dba Sierra Nevada Memorial Hospital
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1669556965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956",
"telephone_number": "916-861-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 Q ST FL 4",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958167058",
"telephone_number": "916-733-3372",
"fax_number": "916-733-5743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "EDWIN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A65646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0151918",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL STATE LICENSE",
"identifier": "A65646",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.