NPIMap

Individual provider Active NPI

Bryan P. Cruz, MD

  • Family Medicine Physician
  • Visalia, CA
National Provider Identifier
1811147069
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A118399 Issued in CA
Practice address
400 East Oak Street
Visalia, CA 93291-5034
Phone
(559) 741-4500
Fax
(559) 741-4502
NPI assigned
Sep 24, 2008
Last updated
Jan 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A118399 CA Primary

Addresses

Primary practice location

400 East Oak Street
Visalia, CA 93291-5034

Mailing address

305 East Center Ave.
Visalia, CA 93291-6331
Phone (559) 737-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000493 CA Practitioner - Family Practice 7911165683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altura Centers for HealthGroup PAC ID 9830103449, 26 clinicians

Practice addresses (Care Compare)

1101 N Cherry St
Tulare, CA 93274-2231
Phone (559) 686-9097

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118399CAMDClinical Social Worker
A118399CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altura Centers for Health Current Accepting new patients
Altura Centers for Health CurrentSince Nov 15, 2015 Accepting new patients
Altura Centers for Health CurrentSince Nov 15, 2015 Accepting new patients
Family Healthcare Network Past Accepting new patients
Family Healthcare Network Past Accepting new patients
Family Healthcare Network Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

1101 N Cherry St
Tulare, CA 93274
Phone (559) 686-9097

1134 E Cartmill Ave
Tulare, CA 93274
Phone (559) 686-9097

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

16686 Road 168
Woodville, CA 93257
Phone (559) 686-9097

Interoperability endpoints

  • Direct secure messaging: bryan.cruz.p1@direct.altura.nextgenshare.com
  • Direct secure messaging: bryan.cruzmd.p1@direct.spocortho.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1811147069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 EAST CENTER AVE.",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916331",
            "telephone_number": "559-737-4700",
            "fax_number": "559-737-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EAST OAK STREET",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915034",
            "telephone_number": "559-741-4500",
            "fax_number": "559-741-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "BRYAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A118399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.