Individual provider Active NPI

Rodrigo Javier De la Cruz Santamaria, MD

  • Pediatrics Physician
  • Tulare, CA
National Provider Identifier
1710691282
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X P18 CA Primary

Addresses

Primary practice location

1201 N Cherry St
Tulare, CA 93274-2233

Mailing address

1201 N Cherry St
Tulare, CA 93274-2233
Phone (559) 686-9097

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL INFO@ALTURA.ORG Direct

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
I20230925001133 CA Practitioner - Pediatric Medicine 3476928672 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P18CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altura Centers for Health Single Specialty Current Accepting new patients
Altura Centers for Health CurrentSince Feb 15, 2023 Accepting new patients
Altura Centers for Health CurrentSince Feb 15, 2023 Accepting new patients

Locations

1101 N Cherry St
Tulare, CA 93274
Phone (559) 685-4601

1134 E Cartmill Ave
Tulare, CA 93274

1201 N Cherry St
Tulare, CA 93274
Phone (559) 685-4622

1500 W Tulare Dr
Tulare, CA 93274
Phone (559) 631-4042

3035 E Bardsley Ave
Tulare, CA 93274
Phone (559) 685-4601

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.