Individual provider Active NPI

Carl Dela Cruz, CRNA

  • Certified Registered Nurse Anesthetist
  • Oakland, CA
National Provider Identifier
1720635873
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001689 Issued in CA
Practice address
3100 Telegraph Ave
Oakland, CA 94609-3239
Phone
(510) 869-6511
NPI assigned
Aug 22, 2019
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95001689 CA Primary
Registered Nurse 163W00000X 95052605 CA

Addresses

Primary practice location

3100 Telegraph Ave
Oakland, CA 94609-3239

Mailing address

2383 N Main St Unit 317
Walnut Creek, CA 94596-3551
Phone (925) 325-6597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220328002011 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507251667 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G2 Anesthesia PCGroup PAC ID 3375873599, 104 clinicians

Practice addresses (Care Compare)

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

Merit-based Incentive Payment System (MIPS)

Final score
98.98 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95052605CAMDRegistered Nurse
95001689CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Current Accepting new patients
Farnad Medical Corporation CurrentSince May 12, 2025 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 17, 2022 Accepting new patients
Sedaze Anesthesia Consultants a Professional Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 17, 2022 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jun 22, 2022 Accepting new patients
University Anesthesia Medical Group CurrentSince Mar 17, 2022 Accepting new patients
Permanente Medical Group Inc CurrentSince Jun 22, 2022 Accepting new patients
University of California San Francisco CurrentSince Mar 17, 2022 Accepting new patients
Apa Medical Group, Inc. CurrentSince Jul 20, 2024 Accepting new patients
University of California San Francisco CurrentSince Mar 17, 2022 Accepting new patients
Apmc Medical Group Inc Past Accepting new patients

Locations (25 of 29)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

1849 Old Bayshore Hwy
Fl 3
Burlingame, CA 94010
Phone (650) 209-5894

20998 Redwood Rd
Castro Valley, CA 94546
Phone (510) 538-2828

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

10921 Wilshire Blvd
Ste 1111
Los Angeles, CA 90024
Phone (310) 208-0474

5757 Wilshire Blvd
Ste PR2
Los Angeles, CA 90036
Phone (310) 285-9612

15251 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0052

302 W La Veta Ave
Ste 100
Orange, CA 92866
Phone (408) 358-1555

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3360 Geary Blvd
Ste 201
San Francisco, CA 94118
Phone (415) 353-3100

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

1739 4th St
Santa Rosa, CA 95404
Phone (707) 528-6331

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1720635873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 N MAIN ST UNIT 317",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963551",
            "telephone_number": "925-325-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093239",
            "telephone_number": "510-869-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "CARL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2022-03-08",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001689",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95052605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.