Individual provider Active NPI

Maricel Veluz Delacruz

  • Family Nurse Practitioner
  • El Cajon, CA
National Provider Identifier
1700314978
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000000000000 Issued in CA
Practice address
133 W Main St Ste 100
El Cajon, CA 92020-3325
Phone
(619) 401-0404
NPI assigned
May 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000000000000 CA Primary

Addresses

Primary practice location

133 W Main St Ste 100
El Cajon, CA 92020-3325

Mailing address

133 W Main St Ste 100
El Cajon, CA 92020-3325
Phone (619) 401-0404

Other practice location 1

1430 E Plaza Blvd
National City, CA 91950-3665
Phone (619) 434-2813

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170926003056 CA Practitioner - Nurse Practitioner 8729352943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Maria G. Fuentes MD, IncGroup PAC ID 1153599857, 2 clinicians

Practice addresses (Care Compare)

717 3Rd Ave
Chula Vista, CA 91910-5803
Phone (619) 941-1545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0000000000000CAMDAttendant Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Arwinnah Bautista MD, PC CurrentSince Aug 25, 2018 Accepting new patients
Dap Health, Inc. Current Accepting new patients
Maria Geraldina Fuentes MD Inc CurrentSince Apr 1, 2024 Accepting new patients
Direct Care Nursing Corporation Family PastSince Nov 10, 2022 Accepting new patients

Locations

717 Third Ave
Chula Vista, CA 91910
Phone (619) 941-1545

133 W Main St
Ste 100
El Cajon, CA 92020
Phone (619) 401-0404

1430 E Plaza Blvd
Ste E18
National City, CA 91950
Phone (619) 267-0553

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700314978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W MAIN ST STE 100",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203325",
            "telephone_number": "619-401-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W MAIN ST STE 100",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203325",
            "telephone_number": "619-401-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 E Plaza Blvd",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919503665",
            "country_code": "US",
            "telephone_number": "619-434-2813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "MARICEL",
        "middle_name": "VELUZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "0000000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.