Marc Jeremy Cruz, ACNPC-AG CRNFA

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95012206 Issued in CA

Practice address

500 Old River Rd Ste 200
Bakersfield, CA 93311-9505

Phone

(661) 663-6429

Fax

(661) 663-6041

NPI assigned

Feb 25, 2019

Last updated

Oct 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellness Wound Care IncGroup PAC ID 6507385069, 5 clinicians

David Taftian DO IncGroup PAC ID 4385980358, 18 clinicians

Innovative Wound Solutions IncGroup PAC ID 0446758858, 26 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.03 of 100Reported as group

Quality

78.11

Improvement activities

40

Cost

33.57

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations (25 of 91)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19088/brand/1/csg/1/fhir/r4

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

• David Taftian DO, Inc

  dba Partner Medical Group

  • Physical Medicine & Rehabilitation Physician
  • Reseda, CA
  • NPI 1366917361
  Medicare reassignment Care Compare group NPD
• Innovative Wound Solutions Inc

  • Health Service Clinic/Center
  • Temecula, CA
  • NPI 1194517482
  Medicare reassignment Care Compare group NPD
• Wellness Wound Care Inc

  • Family Medicine Physician
  • Tarzana, CA
  • NPI 1346040151
  Medicare reassignment Care Compare group NPD
• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Medicare reassignment NPD
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622
  Medicare reassignment NPD
• Precision Wound Solutions

  • Nursing Care Agency
  • La Crescenta, CA
  • NPI 1396562252
  Medicare reassignment NPD
• Rancho Wound Care Center, PC

  dba Rancho Wound Care and Podiatry Center

  • Surgery Physician
  • Rancho Cucamonga, CA
  • NPI 1396548236
  Medicare reassignment NPD
• Ravi Patel M.D. Inc

  dba Comprehensive Blood & Cancer Center

  • Specialist
  • Bakersfield, CA
  • NPI 1912978834
  Medicare reassignment NPD
• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508
  Medicare reassignment NPD
• Wound Healing Care Specialists, Inc.

  dba Wound Healing Care Specialists California

  • Surgery Physician
  • Ontario, CA
  • NPI 1306317961
  Medicare reassignment NPD
• Vitality Ageless Center LLC

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1730657271

  CA

  Medicare reassignment NPD
• Woundology Corp

  • Family Medicine Physician
  • Placentia, CA
  • NPI 1871489419
  Medicare reassignment

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1912464074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E MAIN ST STE 201",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD RIVER RD STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119505",
            "telephone_number": "661-663-6429",
            "fax_number": "661-663-6041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Old River Rd",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933119781",
            "country_code": "US",
            "telephone_number": "661-632-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Truxtun Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933013698",
            "country_code": "US",
            "telephone_number": "661-632-5000 x5461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MARC JEREMY",
        "credential": "ACNPC-AG CRNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012206",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "674363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Javier Cruz
• Julia Cruz
• Lesley Cruz
• Letisia Cruz
• Liliana Cruz I, LVN
• Maria Kathleen Coden Cruz, MSN, FNP-C
• Nathan Ongaco Cruz, DMD
• Randy Jay Cruz, MA
• Renata Sales Cruz
• Ruby Cruz, LCSW

• Nurse Practitioner in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.
• 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.