Lucita Menchavez Cruz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A37419 Issued in CA

Practice address

12507 E Alondra Blvd
Norwalk, CA 90650

Phone

(562) 802-2203

Fax

(562) 262-2706

NPI assigned

Jun 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prolife Home Health Corporation Home health agency, Pomona, CA, CCN 058104
• Prime Nursing Services Home health agency, Los Angeles, CA, CCN 057497

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (3 of 4)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Lucita M Cruz MD Inc

  • Family Medicine Physician
  • Norwalk, CA
  • NPI 1114229762

  CA, Internal Medicine

  Medicare reassignment NPD Authorized official
• Alta Los Angeles Hospitals, Inc.

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922001809
  NPD (past)
• Tri-City Hospital

  • General Acute Care Hospital
  • Oceanside, CA
  • NPI 1801861190
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Capri Home Health Agency, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1639176605
  Care Compare affiliation
• Capri Home Health Agency, Inc.

  • Home Health Agency
  • Walnut, CA
  • NPI 1710996798
  Care Compare affiliation
• TLC Skilled Health Care Providers, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1962409813
  Care Compare affiliation

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1770526477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12507 E ALONDRA BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "562-802-2203",
            "fax_number": "562-262-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12507 E ALONDRA BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "562-802-2203",
            "fax_number": "562-262-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "LUCITA",
        "middle_name": "MENCHAVEZ",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A37419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A374190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Smith Crismon, O. D.
• Emily Cristerna Cristerna
• Melanie Crowell, MSW
• Ayadi Aira Soreta Cruz
• Jennifer Cruz, NP
• Zalma Cruz, ACSW
• Susana Cuan
• Nathan Cuenca
• Dinh Dinh Cung, PHARM. D, BCPP
• Terrell Ormond Curl Sr., PSYCH TECH

• All providers in Norwalk, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.
• 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.