NPIMap

Organization Active NPI

Edgar T. Dela Cruz M.D., Inc.

  • Pediatrics Physician
  • Honolulu, HI
National Provider Identifier
1821293796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4020 Issued in HI
Legal business name
EDGAR T. DELA CRUZ M.D., INC.
Practice address
1748 Dillingham Blvd
Honolulu, HI 96819-4017
Phone
(808) 848-0880
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edgar T. Dela Cruz, M.D.NPI 1164466579
Title
President
Phone
(808) 848-0880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 4020 HI Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 13290 HI

Addresses

Primary practice location

1748 Dillingham Blvd
Honolulu, HI 96819-4017

Mailing address

1748 Dillingham Blvd
Honolulu, HI 96819-4017

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D0621283Edgar T Dela Cruz, MD1748 Dillingham Blvd, Honolulu, HI 96819Provider-performed microscopyApr 30, 2028

National Provider Directory

National Provider Directory

Locations

1748 Dillingham Blvd
Honolulu, HI 96819
Phone (808) 848-0880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821293796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 DILLINGHAM BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 DILLINGHAM BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194017",
            "telephone_number": "808-848-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR T. DELA CRUZ M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-848-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "4020",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "13290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.