Individual provider Active NPI

Gener Cruz

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1811612310
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
851931 Issued in NV
Practice address
2700 Crimson Canyon Dr Ste 180
Las Vegas, NV 89128-0802
Phone
(702) 562-2420
NPI assigned
Oct 6, 2022
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 851931 NV Primary

Addresses

Primary practice location

2700 Crimson Canyon Dr Ste 180
Las Vegas, NV 89128-0802

Mailing address

6699 Painted Morning Ave
Las Vegas, NV 89142-3628
Phone (702) 202-0482

Other practice location 1

2031 McDaniel St Ste 140
North Las Vegas, NV 89030-6308
Phone (702) 633-0207

Other practice location 2

5440 W Sahara Ave Ste 302
Las Vegas, NV 89146-0361
Phone (702) 633-0207

Other practice location 3

1641 E Flamingo Rd Ste 10
Las Vegas, NV 89119-5257
Phone (702) 734-4377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230525000769 NV Practitioner - Nurse Practitioner 6204292725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osama Haikal MD LTDGroup PAC ID 0840279915, 10 clinicians

Practice addresses (Care Compare)

2136 E Desert Inn Rd
Suite a
Las Vegas, NV 89169-3247
Phone (702) 734-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osama Haikal MD LTD CurrentSince Nov 1, 2023 Accepting new patients
Syed F. Hussain, MD, PC CurrentSince Jan 18, 2023 Accepting new patients
Digestive Disease Center-Green Valley LLC Past Accepting new patients
Digestive Disease Center PastSince Oct 29, 2023 Accepting new patients

Locations

1641 E Flamingo Rd
Ste 10
Las Vegas, NV 89119
Phone (702) 734-4377

2136 E Desert Inn Rd
#B
Las Vegas, NV 89169

2136 E Desert Inn Rd
Ste A
Las Vegas, NV 89169
Phone (702) 734-0505

2700 Crimson Canyon Dr
#180
Las Vegas, NV 89128
Phone (702) 562-2420

2700 Crimson Canyon Dr
Ste 180
Las Vegas, NV 89128
Phone (702) 562-2420

Organizations & group practices 4

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": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1811612310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 PAINTED MORNING AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891423628",
            "telephone_number": "702-202-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CRIMSON CANYON DR STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280802",
            "telephone_number": "702-562-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2031 McDaniel St Ste 140",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890306308",
            "country_code": "US",
            "telephone_number": "702-633-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5440 W Sahara Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891460361",
            "country_code": "US",
            "telephone_number": "702-633-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1641 E Flamingo Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891195257",
            "country_code": "US",
            "telephone_number": "702-734-4377",
            "fax_number": "702-369-8057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "GENER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-06",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "851931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.