| Justine Rae Cruz, NP-C | |
|
17612 17th St Ste 101, Tustin, CA 92780-1962 | |
| (714) 243-5450 | |
| Not Available |
| Full Name | Justine Rae Cruz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 17612 17th St Ste 101, Tustin, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932817897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95021654 (California) | Primary |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | Lakeside Medical Organization A Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Justine Rae Cruz, NP-C 14940 Running Brook Way, Chino Hills, CA 91709-6244 Ph: (909) 438-8000 | Justine Rae Cruz, NP-C 17612 17th St Ste 101, Tustin, CA 92780-1962 Ph: (714) 243-5450 |
Mr. Michael Sean Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17601 17th St Ste 120, Tustin, CA 92780 Phone: 714-769-6090 | |
Mrs. Nicole Ninofranco Alcantara, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14642 Newport Avenue Suite 200, Tustin, CA 92780 Phone: 714-669-4466 | |
Ning Sun, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2492 Walnut Ave Ste 100, Tustin, CA 92780 Phone: 714-709-8000 Fax: 714-709-8080 | |
Nicole Rolle Noche, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 | |
Julia Samarin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17581 Irvine Blvd Ste 114, Tustin, CA 92780 Phone: 949-503-1414 | |
Sandra Garcia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14642 Newport Ave Ste 101, Tustin, CA 92780 Phone: 714-352-5800 | |
Eileen Gomez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |