SHERYL LEE O. DE LA CRUZ


Address: 1850 S Waterman Ave Ste D, San Bernardino, CA 92408-2852
Phone: 9098911164

SHERYL LEE O. DE LA CRUZ (NPI# 1841584778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841584778
Entity Type Individual
Full Name SHERYL LEE O. DE LA CRUZ
Credential NP-C
Practice Address 1850 S Waterman Ave Ste D
San Bernardino
CA 92408-2852
Mailing Address 330 W Ramsey St
Banning
CA 92220-4823
Practice Telephone 9098911164
Practice Fax Number 9093836689
Mailing Telephone 9518491950
Mailing Fax Number 9518490080
Enumeration Date 2011-06-08
Last Update Date 2011-06-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
20133 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1850 S WATERMAN AVE STE D
City SAN BERNARDINO
State CA
Zip Code 92408-2852

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1548730419 Adriana Alcaraz Behavior Technician 473 E Carnegie, Ste 200, San Bernardino, CA 92408 2018-12-04
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205378437 Tristar Home Visit Providers Inc Nurse Practitioner 275 W Hospitality Ln Ste 103a, San Bernardino, CA 92408-3238 2016-11-04
1801282074 Andrea Wade Nurse Practitioner 351 N Mountain View Ave Fas, San Bernardino, CA 92415-3115 2015-04-14
1912396201 Eric Eschweiler Nurse Practitioner 590 N D St, San Bernardino, CA 92401-1352 2015-01-09
1437551561 Priscilla Naamomo Otubuah Nurse Practitioner 164 W Hospitality Ln Ste 100, San Bernardino, CA 92408-3316 2014-09-19
1851729768 Mercy Manaen Nurse Practitioner 164 W Hospitality Ln # 100, San Bernardino, CA 92408 2013-10-31
1841628930 Sarita Shivakoti Nurse Practitioner 2150 N Waterman Ave Ste 200, San Bernardino, CA 92404-4811 2013-10-29
1255630398 Tracy Ann Preston Nurse Practitioner 1543 W 8th St, San Bernardino, CA 92411-2566 2011-03-15
1982905410 Dr Ruth Tanyi, Inc Nurse Practitioner 577 N D St Ste 101, San Bernardino, CA 92401-1326 2010-11-15
1639382773 Cathy Sampson-siriani Nurse Practitioner 3704 Canyon Terrace Dr, 9680 Citrus Ave, Blgd#33 Fontana, Ca 92335, San Bernardino, CA 92407-4106 2007-05-07
1851516538 Sandra Peeke Nurse Practitioner 1873 Commercenter W, San Bernardino, CA 92408-3303 2007-04-16
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Competitor

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City SAN BERNARDINO
Zip Code 92408

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Dataset Information

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.

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