Ildefonso Cruz (NPI# 1275689085, PAC ID# 3274728159) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1275689085 |
| PAC ID by PECOS | 3274728159 |
| Professional Enrollment ID | I20101117001167 |
| Full Name | Ildefonso Cruz |
| Address |
1646 E Herndon Ave Suite 102 Fresno CA 93720-3380 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050093 | SAINT AGNES MEDICAL CENTER |
| 050492 | CLOVIS COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1646 E Herndon Ave, Suite 102, Fresno, CA 93720-3380 |
| Street Address |
1646 E HERNDON AVE SUITE 102 |
| City | FRESNO |
| State | CA |
| Zip | 93720-3380 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry A Gillian | Plastic and Reconstructive Surgery | 1193 E Herndon, Suite 106, Fresno, CA 93720 | |
| Hongshik Han | Plastic and Reconstructive Surgery | 7005 N Maple, Suite 107, Fresno, CA 93720 | |
| Mari Jo Hanson | Physician Assistant | Urology Associates of Central California Med Grp, Inc | 7014 N Whitney, Fresno, CA 93720-0153 |
| Berhane Mebratu | Nurse Practitioner | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Yuk-yuen M Leung | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Steven M Kurtzman | Radiation Oncology | Western Radiation Oncology Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Peter J Garcia | Nurse Practitioner | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Kuldip J Behniwal | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| John C Julian | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| William M Schiff | Urology | Urology Associates of Central California Medical Group Inc | 7014 N Whitney Ave, Fresno, CA 93720-0155 |
| Find all physicians in zip 93720 | |||
| City | FRESNO |
| Zip Code | 93720 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FRESNO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ildefonso Cruz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.