Individual provider Active NPI

Susana Damian Cruz

  • Physical Therapist
  • Murrieta, CA
National Provider Identifier
1861251373
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305785 Issued in CA
Practice address
40680 California Oaks Rd Ste 2a
Murrieta, CA 92562-5755
Phone
(951) 894-4800
Fax
(951) 894-4804
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 305785 CA Primary

Addresses

Primary practice location

40680 California Oaks Rd Ste 2a
Murrieta, CA 92562-5755

Mailing address

40680 California Oaks Rd Ste 2a
Murrieta, CA 92562-5755
Phone (951) 894-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415003074 CA Practitioner - Physical Therapist in Private Practice 4284073933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Rehab GroupGroup PAC ID 5496844110, 9 clinicians

Practice addresses (Care Compare)

40680 California Oaks Rd
2A
Murrieta, CA 92562-5755
Phone (951) 894-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Rehab Group Physical Therapist CurrentSince Mar 15, 2024 Accepting new patients

Locations

38860 Sky Canyon Dr
Bldg A
Murrieta, CA 92563
Phone (442) 777-5920

40680 California Oaks Rd
Ste 2A
Murrieta, CA 92562
Phone (951) 894-4800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1861251373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40680 CALIFORNIA OAKS RD STE 2A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625755",
            "telephone_number": "951-894-4800",
            "fax_number": "951-894-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40680 CALIFORNIA OAKS RD STE 2A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625755",
            "telephone_number": "951-894-4800",
            "fax_number": "951-894-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIAN CRUZ",
        "first_name": "SUSANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.