Organization Active NPI

Alberto M. Cruz, MD. Inc.

Doing business as Rialto Community Medical Clinic

  • General Practice Physician
  • Rialto, CA
National Provider Identifier
1841339355
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A53986 Issued in CA
Legal business name
ALBERTO M. CRUZ, MD. INC.
Doing business as
Rialto Community Medical Clinic
Practice address
195 E Foothill Blvd
Rialto, CA 92376-5165
Phone
(909) 874-3490
Fax
(909) 874-3470
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Dr. Alberto Marcelino Cruz, M.D.
Title
Owner/President
Phone
(909) 874-3490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A53986 CA Primary

Addresses

Primary practice location

195 E Foothill Blvd
Rialto, CA 92376-5165

Mailing address

195 E Foothill Blvd
Rialto, CA 92376-5165
Phone (909) 874-3490

Other identifiers 1

IdentifierTypeStateIssuer
00A539860MedicaidCA

Other names 1

  • Rialto Community Medical Clinic Doing business as

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
05D0931948Rialto Community Medical Clinic195 E Foothill Blvd, Rialto, CA 92376Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1841339355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 E FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765165",
            "telephone_number": "909-874-3490",
            "fax_number": "909-874-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765165",
            "telephone_number": "909-874-3490",
            "fax_number": "909-874-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTO M. CRUZ, MD. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "MARCELINO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "909-874-3490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A53986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A539860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rialto Community Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.