Rodrigo Javier De la Cruz Santamaria, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P18 Issued in CA

Practice address

1201 N Cherry St
Tulare, CA 93274-2233

Phone

(559) 686-9097

Fax

(559) 366-7060

NPI assigned

Jan 10, 2023

Sex

Male

Sole proprietor

Yes

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.

• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1023011632

  CA, Single Specialty

  Medicare reassignment NPD
• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1568827210
  NPD
• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1629835426
  NPD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: rodrigo.delacruz.p1@direct.altura.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2023.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1710691282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742233",
            "telephone_number": "559-686-9097",
            "fax_number": "559-366-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742233",
            "telephone_number": "559-686-9097",
            "fax_number": "559-366-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ SANTAMARIA",
        "first_name": "RODRIGO",
        "middle_name": "JAVIER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "P18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "INFO@ALTURA.ORG",
            "affiliation": "N",
            "endpointDescription": "E MAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rodrigo.delacruz.santamaria@gmail.com",
            "address_1": "1201 N Cherry St",
            "city": "Tulare",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932742233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David H. Steed, O.D
• David Heaney, M.D., Inc.
• David S. Humerickhouse DDS, Inc
• Darlene J Day, LMFT
• Jannette K Day, HIS HADB
• Alicia De la Cruz
• Rebecca Jeanette De Vera
• Nadia Blair Dedad
• Tatiana Deeff, MPT
• Samantha R Delacruz

• All providers in Tulare, CA
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.