Christian Angelo Cruz, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA19482 Issued in CA

Practice address

20300 S Vermont Ave
Torrance, CA 90502-1338

Phone

(562) 437-0831

NPI assigned

Dec 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: christian.cruz@3856.securemail.prognocis.com

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.

• Care Onsite, Inc.

  • Occupational Medicine Physician
  • Long Beach, CA
  • NPI 1487717930
  NPD (past)

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1881878635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 GREENTOP ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907123609",
            "telephone_number": "562-786-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 S VERMONT AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905021338",
            "telephone_number": "562-437-0831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "198 Wood Pl",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203119",
            "country_code": "US",
            "telephone_number": "562-786-4156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "CHRISTIAN",
        "middle_name": "ANGELO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Lynn Crownover, LMFT
• Eric R Crum, DMD
• Shelby Crump
• Amanda J Cruse, LMFT
• Aimee Jean Cruz
• Kevin Alonzo Cruz
• Natassha Alexandria K Cruz
• Rupebeth Rebong Cruzado, RDA
• Crystal Diagnostic Labs, LLC
• Csulb Nursing Program

• Medical Physician Assistant in Torrance, CA
• Providers in Torrance, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.