Individual provider Active NPI

Eugene Louis Dela Cruz, DPM

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
National Provider Identifier
1750340139
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0775 Issued in AZ
Practice address
19636 N 27TH Ave Ste 207
Phoenix, AZ 85027-4015
Phone
(602) 993-2700
Fax
(602) 993-2705
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0775 AZ Primary

Addresses

Primary practice location

19636 N 27TH Ave Ste 207
Phoenix, AZ 85027-4015

Mailing address

3101 E Shea Blvd Ste 220204
Phoenix, AZ 85028-3210
Phone (602) 993-2700

Other practice location 1

6036 N 19th Ave
204
Phoenix, AZ 85015-2106
Phone (602) 993-2700

Other practice location 2

3101 E Shea Blvd Ste 220204
Phoenix, AZ 85028-3210
Phone (602) 993-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0775AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Foot and Ankle Center LLC Foot & Ankle Surgery Current Accepting new patients

Locations

6036 N 19th Ave
Ste 204
Phoenix, AZ 85015
Phone (480) 717-0356

Organizations & group practices 1

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1750340139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 E SHEA BLVD STE 220204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283210",
            "telephone_number": "602-993-2700",
            "fax_number": "602-993-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE STE 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274015",
            "telephone_number": "602-993-2700",
            "fax_number": "602-993-2705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6036 N 19th Ave",
            "address_2": "204",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850152106",
            "country_code": "US",
            "telephone_number": "602-993-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 E Shea Blvd Ste 220204",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850283210",
            "country_code": "US",
            "telephone_number": "602-993-2700",
            "fax_number": "602-993-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "EUGENE",
        "middle_name": "LOUIS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.