Josephine Dumalaog-Cruz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41401 Issued in CA

Practice address

2406 W Edinger Ave
Ste. a
Santa Ana, CA 92704-3544

Phone

(714) 556-1000

Fax

(714) 556-1208

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Josephine Dumalaog Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1912064668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 W EDINGER AVE",
            "address_2": "STE A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043544",
            "telephone_number": "714-556-1000",
            "fax_number": "714-975-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 W EDINGER AVE",
            "address_2": "STE. A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043544",
            "telephone_number": "714-556-1000",
            "fax_number": "714-556-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMALAOG-CRUZ",
        "first_name": "JOSEPHINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "DUMALAOG",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trenten Andrew Duff, CCAPP
• John Gregory Duffy, MD
• Andrew Ralph Dufort
• Matthew Duhadway
• Maja Dukic
• Alaina Dumonceaux, PTA
• Whitney Lea Dunbar
• Jeffrey Stanley Duncan, O.D.
• McKenna Duncan
• Mylinh Tran Duncan, D.O.

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, 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 Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.