Individual provider Active NPI

Margaret Tharyna German de la Cruz, M.D.

  • Pediatrics Physician
  • Sacramento, CA
National Provider Identifier
1710369657
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A161775 Issued in CA
Practice address
6339 Mack Rd
Sacramento, CA 95823-4655
Phone
(916) 454-2345
Fax
(916) 457-2667
NPI assigned
Jun 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X A161775 CA Primary

Addresses

Primary practice location

6339 Mack Rd
Sacramento, CA 95823-4655

Mailing address

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 569-8484

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808002725 CA Practitioner - Pediatric Medicine 6608103973 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A161775CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers Current Accepting new patients
Elica Health Centers CurrentSince Aug 9, 2022 Accepting new patients
Elica Health Centers CurrentSince Aug 9, 2022 Accepting new patients
Cares Community Health Past Accepting new patients

Locations

1860 Howe Ave
Ste 440
Sacramento, CA 95825

1750 Wright St
Ste 1
Sacramento, CA 95825

6339 Mack Rd
Sacramento, CA 95823
Phone (916) 585-7912

1276 Halyard Dr
West Sacramento, CA 95691

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

Interoperability endpoints

  • Direct secure messaging: mgermandelacruz812081@direct.ochin.org

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": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1710369657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE STE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251098",
            "telephone_number": "916-569-8484",
            "fax_number": "916-256-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6339 MACK RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958234655",
            "telephone_number": "916-454-2345",
            "fax_number": "916-457-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAN DE LA CRUZ",
        "first_name": "MARGARET",
        "middle_name": "THARYNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A161775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.