Danilo Reynes Cruz, M.D.
Individual provider Active NPI Family Medicine Physician · Corcoran, CA
NPI 1689889016 · NPPES record last updated Oct 29, 2009
Key facts
- NPI
- 1689889016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A106250 (CA)
- Practice address
- 1212 Hanna Ave
Corcoran, CA 93212-2313 - Phone
- (559) 992-2800
- Fax
- (559) 992-2899
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140219000305 | CA | Order and Referring Only - Family Practice |
7810040219 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A106250 | CA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A106250 | CA | Yes |
Addresses
Primary practice location
1212 Hanna Ave
Corcoran, CA 93212-2313
Mailing address
1212 Hanna Ave
Corcoran, CA 93212-2313
Phone (559) 992-2800
Other providers in Corcoran, CA
- Corcoran Joint Unfied School District
- Corrections and Rehabilitation-Headquarters
- Corrections and Rehabilitation-Headquarters
- Michael Anthony Cortez
- Cecilia Gomez Corwin
- Monica A Cruz
- CSP-Corcoran
- Cindi Dardin-Box
- David R. King, O.D., Inc.
- Daybreak Health
All providers in Corcoran, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.