Jennifer Cruz, NP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

95021764 Issued in CA

Practice address

12507 Alondra Blvd
Norwalk, CA 90650-7351

Phone

(562) 802-2203

Fax

(562) 404-8555

NPI assigned

Jul 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Lucita M Cruz MD Inc

  • Family Medicine Physician
  • Norwalk, CA
  • NPI 1114229762

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689309130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12507 ALONDRA BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906507351",
            "telephone_number": "562-802-2203",
            "fax_number": "562-404-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12507 ALONDRA BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906507351",
            "telephone_number": "562-802-2203",
            "fax_number": "562-404-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "95021764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Maurice Creel, DC
• Paul Smith Crismon, O. D.
• Emily Cristerna Cristerna
• Melanie Crowell, MSW
• Ayadi Aira Soreta Cruz
• Lucita Menchavez Cruz, MD
• Zalma Cruz, ACSW
• Susana Cuan
• Nathan Cuenca
• Dinh Dinh Cung, PHARM. D, BCPP

• Internal Medicine Physician in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.