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MR. DMITRI DE LA CRUZ MD NPI 1154337053


NPI Information

NPI: 1154337053
Provider Name: MR. DMITRI DE LA CRUZ, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
2798 S ELM AVE
FRESNO, CA
ZIP 93706
Phone: (559) 457-5200
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MR. Dmitri De La Cruz, MD is a pediatrics in Fresno, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MR. Dmitri De La Cruz, MD NPI is 1154337053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2798 S ELM AVE
FRESNO, CA
ZIP 93706-435
Phone: (559) 457-5200
Fax: (559) 457-5290

The enumeration date for this NPI number is 7/31/2006 and was last updated on 11/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsG54368CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G54368OTHERLICENSE #
2BD0186747OTHERDEA #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.