Ella Stephanie Cruz

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108747 Issued in CA

Practice address

1701 Stine Rd
Bakersfield, CA 93309-4827

Phone

(866) 707-6664

NPI assigned

May 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ella Cruz Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: ella.salaparecruz.p1@direct.omnifamilyhealth.nextgenshare.com

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1831889468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13317 RODIN ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933146920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 STINE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933094827",
            "telephone_number": "866-707-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ELLA STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLA",
            "last_name": "CRUZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eduardo Cruz-Garcia
• Aileen Gisselle Cruz, RDH
• Blanca Guadalupe Cruz
• David Cruz
• Diana Veronica Cruz, BCBA
• Emely Cruz
• Erik Cruz
• Jasmine Justine-Marie Cruz
• Jeannette Yvonne Cruz
• Jenesis Cruz

• General Practice Dentistry in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.