Active NPI
Justine Rae Cruz, NP-C
- Nurse Practitioner
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95021654
- Practice address
- 1500 W West Covina Pkwy
West Covina, CA 91790-2708 - Phone
- (626) 856-2248
- NPI assigned
- Nov 9, 2022
- Last updated
- Apr 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95021654 | CA | Primary |
Addresses
Primary practice location
1500 W West Covina Pkwy
West Covina, CA 91790-2708
Mailing address
14940 Running Brook Way
Chino Hills, CA 91709-6244
Phone (909) 438-8000
Other practice location 1
11234 Anderson St
Loma Linda, CA 92350-1716
Phone (909) 558-4000
Other practice location 2
25333 Barton Rd
Loma Linda, CA 92350-0210
Phone (909) 558-6644
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
1500 W W Covina Pkwy
West Covina, CA 91790-2708
Phone (626) 430-9991
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.57 of 100
- Quality
- 62.42
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 76.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Single Specialty | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Single Specialty | Current | Accepting new patients |
| Lakeside Medical Organization, a Medical Group Inc. | Single Specialty | Current | Accepting new patients |
| Tustin Urgent Care, Apc | Single Specialty | Past | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Locations
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541
8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000
1500 W West Covina Pkwy
West Covina, CA 91790
Phone (626) 430-9991
1500 W West Covina Pkwy
Ste 102
West Covina, CA 91790
Phone (626) 263-7010
Interoperability endpoints
- justine.cruz.p1@direct.lakeside.nextgenshare.com
Organizations & group practices 6
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
Single Specialty
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1831426642
Single Specialty
-
- Anatomic Pathology & Clinical Pathology Physician
- Loma Linda, CA
- NPI 1245605781
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
Single Specialty
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
dba Xpress Urgent Care Tustin
- Urgent Care Clinic/Center
- Tustin, CA
- NPI 1225407596
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1932817897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14940 RUNNING BROOK WAY",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917096244",
"telephone_number": "909-438-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 W WEST COVINA PKWY",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902708",
"telephone_number": "626-856-2248"
}
],
"practiceLocations": [
{
"address_1": "11234 Anderson St",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923501716",
"country_code": "US",
"telephone_number": "909-558-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25333 Barton Rd",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923500210",
"country_code": "US",
"telephone_number": "909-558-6644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "JUSTINE",
"middle_name": "RAE",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95021654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.