RODRIGO R DE LA CRUZ (NPI# 1790885176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790885176 |
| Entity Type | Individual |
| Full Name | RODRIGO R DE LA CRUZ |
| Credential | M.D. |
| Practice Address |
518 W Eaton Ave Tracy CA 95376-3422 |
| Practice Telephone | 2098332228 |
| Mailing Telephone | 2098332228 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A74123 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD GROUP ID# | ZZZ01387Z | 01 |
| Street Address |
518 W EATON AVE |
| City | TRACY |
| State | CA |
| Zip Code | 95376-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336249713 | Eaton Pediatrics & Medical Corp. | Pediatrics | 518 W Eaton Ave, Tracy, CA 95376-3422 | 2006-09-25 |
| 1164522546 | Manuel R De La Cruz | Pediatrics | 518 W Eaton Ave, Tracy, CA 95376-3422 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932757150 | James Burgess Angel | Technician, Other | 455 W. Eaton Ave., Tracy, CA 95376 | 2019-08-30 |
| 1477079655 | Cassandra Sierra | Specialist/Technologist | 632 W 11th St Ste 119, Tracy, CA 95376 | 2017-08-18 |
| 1922465491 | Jasmeer Kaur Uppal | Registered Nurse | 1411 N. Tracy Bl., Tracy, CA 95376 | 2016-01-28 |
| 1679957773 | Amy Forester | Physical Therapy Assistant | 1752 Schantz Way, Tracy, CA 95376 | 2015-07-17 |
| 1477966265 | Sarah Ojeda | Marriage & Family Therapist | 19 East 6th Street, Tracy, CA 95376 | 2014-06-09 |
| 1356761209 | Lucille Nowakowski | Registered Nurse | 95 West 11 Th St, Tracy, CA 95376 | 2014-04-18 |
| 1821417718 | Ricardo Echon | Nurse Practitioner | 644 W 12th Street, Tracy, CA 95376 | 2014-04-08 |
| 1508105354 | Sutter Central Valley Hospitals | Pharmacy | 1420 N. Tracy Blvd., Tracy, CA 95376 | 2013-02-13 |
| 1790034056 | Amy Powers | Counselor | 902 N Central Ave Ste 308, Tracy, CA 95376 | 2012-09-02 |
| 1982951554 | Gurpreet Singh Dhaliwal Md Inc. | Anesthesiology | 1530 Bessie Ave Ste 104, Tracy, CA 95376 | 2012-08-13 |
| Find all providers in zip 95376 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528272580 | Wivina T Urbano Md Inc | Pediatrics | 4600 S Tracy Blvd Ste 110, Tracy, CA 95377-8105 | 2007-05-09 |
| 1255463089 | Monica Lynnette G Stoffer | Pediatrics | 4598 S Tracy Blvd Ste 110, Tracy, CA 95377-8117 | 2007-03-09 |
| 1831278365 | Reshma Anil Wadhwani | Pediatrics | 730 Central Ave, Tracy, CA 95376-4104 | 2006-11-03 |
| 1659324101 | Helene Novesteras | Pediatrics | 1530 N Bessie Ave, Ste 106, Tracy, CA 95376 | 2006-05-18 |
| 1831195692 | Neena Y Shah | Pediatrics | 4598 S Tracy Blvd, C140, Tracy, CA 95377-8107 | 2005-06-24 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1710411939 | Nora Kathleen Stillman | Pediatrics | 4598 S Tracy Blvd Ste 110, Tracy, CA 95377-8117 | 2017-04-13 |
| 1821394875 | Hurst Osteopathic Medicine, A Professional Corp | Pediatrics | 1530 Bessie Ave, Suite 104, Tracy, CA 95376-3080 | 2011-02-08 |
| 1881990513 | Hurst Osteopathic Medicine, A Professional Corporation | Pediatrics | 632 W 11th St, Suite 119, Tracy, CA 95376-3856 | 2011-01-27 |
| 1619298353 | Tasmina Hussain | Pediatrics | 4598 S Tracy Blvd Ste 110, Tracy, CA 95377-8117 | 2010-06-16 |
| Find all providers in TRACY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.