Eduardo Dela Cruz Tulod Jr., NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95022602 Issued in CA

Practice address

49305 Grapefruit Blvd Ste 1
Coachella, CA 92236-1490

Phone

(909) 556-9482

NPI assigned

Oct 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1982329579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26221 CITRON ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546574",
            "telephone_number": "909-556-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49305 GRAPEFRUIT BLVD STE 1",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361490",
            "telephone_number": "909-556-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULOD",
        "first_name": "EDUARDO",
        "middle_name": "DELA CRUZ",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95164624",
            "primary": false
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "CA",
            "license": "556669",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Tran, DDS
• Quyen Thuc Tran, PHARM.D
• Marilou Truong
• Alicia Lupita Tucker
• Doreen Tudor
• Maximiliano Uribe-Tapia, RADT
• Violet Valenzuela
• Valley Wellness Center Co.
• Penelope Vargas
• Viridiana Vasquez

• Family Nurse Practitioner in Coachella, CA
• Providers in Coachella, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.