Active NPI
Diana Lynn De la Cruz, PT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1699843037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34187
- Practice address
- 1745 Camino Palmero St Apt 326
Los Angeles, CA 90046-2909 - Phone
- (323) 366-2708
- NPI assigned
- Dec 2, 2006
- Last updated
- Jun 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34187 | CA | Primary |
| Physical Therapist | 225100000X | 021434 | NY |
Addresses
Primary practice location
1745 Camino Palmero St Apt 326
Los Angeles, CA 90046-2909
Mailing address
1745 Camino Palmero St
Apt. 326
Los Angeles, CA 90046-2945
Phone (323) 378-6804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34187 | CA | MD | Clinical Social Worker |
| 021434 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1699843037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 CAMINO PALMERO ST",
"address_2": "APT. 326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900462945",
"telephone_number": "323-378-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 CAMINO PALMERO ST APT 326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900462909",
"telephone_number": "323-366-2708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA CRUZ",
"first_name": "DIANA",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-02",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34187",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "021434",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.