VICTOR EMIDIO CRUZ (NPI# 1902000524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902000524 |
| Entity Type | Individual |
| Full Name | VICTOR EMIDIO CRUZ |
| Credential | M.P.T. |
| Practice Address |
4650 Palm Ave San Diego CA 92154-8404 |
| Mailing Address |
4349 Mount Putman Ave San Diego CA 92117-4750 |
| Practice Telephone | 6196626935 |
| Practice Fax Number | 6196625435 |
| Mailing Telephone | 8585731722 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT 19142 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932384526 | Victor Manuel Cruz | Chiropractor | Bl2 Via Elena, Villa Fontana, Carolina, PR 00983-3903 | 2008-01-02 |
| 1861693947 | Victor Cruz | Surgery | 1208 Columbus Rd, Deming, NM 88030-5208 | 2007-05-29 |
| 1225532559 | Victor Cruz | Behavior Technician | 120 Theresa Ave, American Canyon, CA 94503-9654 | 2018-03-21 |
| 1356870208 | Victor Hugo Cruz | Counselor | 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | 2017-06-05 |
| 1841514643 | Victor Ricacho Cruz Jr. | Physical Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1020 | 2010-03-23 |
| 1861622060 | Victor Damaso Cruz | Internal Medicine | 111 N 12th St, Tampa, FL 33602-3661 | 2009-07-22 |
| 1285669325 | Victor M Cruz | Psychiatry & Neurology | 17177 N Laurel Park Dr, Suite 131, Livonia, MI 48152-2693 | 2006-07-11 |
| 1710957584 | Victor T Cruz | Radiology | 10700 Mcpherson Ave, Laredo, TX 78045-6268 | 2006-01-25 |
| Street Address |
4650 PALM AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92154-8404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396732715 | Michael Joseph Distefano | Physical Therapist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2005-09-30 |
| 1164900312 | Phillip Frangie | Respiratory Therapist, Registered | 4650 Palm Ave, San Diego, CA 92154-8404 | 2018-07-31 |
| 1902393416 | Anthony Rossetti | Physical Therapist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2018-04-19 |
| 1447766589 | Eleanor Del Rosario Pizarro | Nurse Practitioner | 4650 Palm Ave, San Diego, CA 92154-8404 | 2017-12-27 |
| 1689110827 | Lauren Aragon | Pharmacist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2017-01-11 |
| 1538528161 | Khanh Minh Nguyen | Pharmacist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2016-02-10 |
| 1326410747 | Diane Del Rosario | Pharmacist | 4650 Palm Ave, San Diego, CA 92154-8404 | 2015-10-25 |
| 1649671686 | Sang Hui Luu | Pharmacist | 4650 Palm Ave, Kaiser Otay Mesa Outpatient Pharmacy, San Diego, CA 92154-8404 | 2014-09-09 |
| 1568878080 | Carina Lopez | Student in an Organized Health Care Education/Training Program | 4650 Palm Ave, San Diego, CA 92154-8404 | 2014-07-03 |
| 1548675754 | Aimee Anselm | Pediatrics | 4650 Palm Ave, San Diego, CA 92154-8404 | 2014-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952922783 | Rosalie Ramos Gayares | Licensed Vocational Nurse | Del Sur Crisis Center, San Diego, CA 92154 | 2020-05-04 |
| 1720625791 | Michelle Lynn Mason | Counselor | 892 27th Street, San Diego, CA 92154 | 2019-12-09 |
| 1538604020 | Victor Luis Assid | Counselor | 3069 Camino Aleta, San Diego, CA 92154 | 2016-12-20 |
| 1710346275 | Abba Transportation Services LLC | Non-emergency Medical Transport (VAN) | 5640 Surfrider Way #255, San Diego, CA 92154 | 2016-02-12 |
| 1851788962 | Danielle D. Weisman | Psychologist | 9335 Airway Rd Ste 202, San Diego, CA 92154 | 2015-04-16 |
| 1215321955 | Carolina Gonzalez-garcia | Marriage & Family Therapist | 3085 Beyer Blvd Ste A103, San Diego, CA 92154 | 2015-03-19 |
| 1285042945 | Maricela Ochoa | Pharmacist | 710 Dennery Road, San Diego, CA 92154 | 2014-07-25 |
| 1376975300 | Shatori R Dearman | Social Worker | 5143 Bay Crest Ln, San Diego, CA 92154 | 2013-08-01 |
| 1912257940 | Bj's Trading LLC | Durable Medical Equipment & Medical Supplies | 9668 Heinrich Hertz Drive Suite G, San Diego, CA 92154 | 2012-09-18 |
| 1881997625 | Tywila Reeves Bivens | Nurse's Aide | 976 Picador Blvd, San Diego, CA 92154 | 2010-12-17 |
| Find all providers in zip 92154 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1710532726 | Katherine Dever Jones | Physical Therapist | 7625 Mesa College Dr # 101a, San Diego, CA 92111-5343 | 2019-08-06 |
| 1437711082 | Garrett Kale | Physical Therapist | 9333 Genesee Ave # 350a, San Diego, CA 92121-2111 | 2019-07-03 |
| 1467946921 | Meredith Claire Haeuptle | Physical Therapist | 7625 Mesa College Dr Ste 101a, San Diego, CA 92111-5343 | 2018-06-19 |
| 1407362650 | Chelsea Boomer | Physical Therapist | 6475 Alvarado Rd Ste 118, San Diego, CA 92120-5007 | 2017-12-26 |
| 1679018675 | Julie Woolridge | Physical Therapist | 295 G Street, San Diego, CA 92101-4633 | 2016-12-29 |
| 1710351747 | Jonathan Pe | Physical Therapist | 18109 Smokesignal Dr, San Diego, CA 92127-3108 | 2015-11-13 |
| 1801295332 | Julie Guerin | Physical Therapist | 17860 Main, San Diego, CA 92177-7860 | 2014-08-20 |
| 1811330400 | Keith Mahler Physical Therapist & Associates | Physical Therapist | 7801 Mission Center Ct Ste 430, San Diego, CA 92108-1332 | 2013-04-12 |
| 1720337660 | Jenna Marie Kempf | Physical Therapist | 2555 Camino Del Rio South, 102, San Diego, CA 92108 | 2012-09-06 |
| Find all providers in SAN DIEGO | ||||
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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.