Individual provider Active NPI

Cesar Cruz, M.D

  • Psychiatry Physician
  • Covina, CA
National Provider Identifier
1861766099
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A120136 Issued in CA
Practice address
1161 E Covina Blvd
Covina, CA 91724
Phone
(909) 279-1740
NPI assigned
Mar 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A120136 CA Primary

Addresses

Primary practice location

1161 E Covina Blvd
Covina, CA 91724

Mailing address

PO Box 1770
La Mesa, CA 91944-1770
Phone (619) 464-1165

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150930002229 CA Practitioner - PsychiatryPractitioner - General PracticePractitioner - Geriatric MedicinePractitioner - Emergency Medicine 6204144850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Emergency Medicine, General Practice, Geriatric Medicine
Education
Georgetown University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1161 E Covina Blvd
Covina, CA 91724-1523
Phone (909) 279-1740

Hospital & facility affiliations

  • L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A120136CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cyrus Nasserian MD Cesar Cruz MD Sambin Wang DO and Zaheib Idrees D Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
Social Model Recovery Systems, Inc. Past Accepting new patients

Locations

1161 E Covina Blvd
Covina, CA 91724
Phone (626) 859-5289

150 W Route 66
Glendora, CA 91740
Phone (626) 335-0231

800 E 5th St
Ontario, CA 91764
Phone (909) 984-1620

11878 Avenue of Industry
San Diego, CA 92128
Phone (619) 736-7421

801 Seneca St
Ventura, CA 93001
Phone (805) 504-6814

Interoperability endpoints

  • Direct secure messaging: cesar.cruz.p8@direct.bfmc.nextgenshare.com
  • Direct secure messaging: cesar.cruz.p5@direct.mydohc.nextgenshare.com
  • Direct secure messaging: cesar.cruz.p2@direct.mydohc.nextgenshare.com
  • Direct secure messaging: cesar.cruz.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1861766099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "619-464-1165",
            "fax_number": "619-567-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 E COVINA BLVD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91724",
            "telephone_number": "909-279-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-06",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A120136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.