Dionisio Teeking Cruz, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95020613 Issued in CA

Practice address

820 Ca-88
Jackson, CA 95642

Phone

(209) 223-7040

NPI assigned

May 6, 2022

Last updated

May 6, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622
  Medicare reassignment NPD

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1831835594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CA-88",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "95642",
            "telephone_number": "209-223-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 CA-88",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "95642",
            "telephone_number": "209-223-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "DIONISIO",
        "middle_name": "TEEKING",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "robyngoldcountrymedical@yahoo.com",
            "affiliation": "N",
            "address_1": "820 CA-88",
            "city": "Jackson",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• County of Amador
• Suzan E. Cowan, ACSW
• Thomas Cowgill
• Erin Cox, D.C.
• Wendy Cranford
• Cynthia Caryn Custer-Coon, PHARMD
• Geralyn Da Silva
• Cailey Dante, PA-C
• David L Dutra DPM Inc
• David M Melniczek MD Inc (NorCal Surgical Group)

• Family Nurse Practitioner in Jackson, CA
• Providers in Jackson, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.