| Justine Rae Cruz, NP-C | |
|
1500 W West Covina Pkwy, West Covina, CA 91790-2708 | |
| (626) 856-2248 | |
| Not Available |
| Full Name | Justine Rae Cruz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1500 W West Covina Pkwy, West Covina, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932817897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95021654 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loma Linda University Medical Center | Loma linda, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1313 |
| Lakeside Medical Organization A Medical Group Inc | 7618005166 | 64 |
| 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 1500 W West Covina Pkwy, West Covina, CA 91790-2708 Ph: (626) 856-2248 |
Mrs. Claire Marie Tabares, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1115 S Sunset Ave, West Covina, CA 91790 Phone: 626-814-2547 |
Moses Ewo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 933 S Sunset Ave Ste 105, West Covina, CA 91790 Phone: 714-709-3154 |
Bonnie Chu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2707 E Valley Blvd Ste 208, West Covina, CA 91792 Phone: 626-581-0486 |
Jettele Joy D Lara, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 S Sunset Ave Ste 401, West Covina, CA 91790 Phone: 626-732-8393 |
Caroline Matibag Caspe, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Sunset Ave, West Covina, CA 91790 Phone: 626-960-6999 Fax: 626-960-5246 |
Ms. Shylee Bautista Tiamson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N Barranca St # 900-j, West Covina, CA 91791 Phone: 310-292-0117 |
Mrs. Evangeline Baquiran Pelaez, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N Barranca St Ste 900, West Covina, CA 91791 Phone: 626-206-0523 Fax: 626-206-0553 |