RYAN T DE LA CRUZ (NPI# 1063682581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063682581 |
| Entity Type | Individual |
| Full Name | RYAN T DE LA CRUZ |
| Practice Address |
Nmcb - 3 Unit 25269 Fpo Ap 96601 Port Hueneme CA 96601 |
| Practice Telephone | 8058924924 |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619317856 | Ryan Bolor De La Cruz | Family Medicine | 9400 Rosecrans Ave, Bellflower, CA 90706-2246 | 2013-07-02 |
| Street Address |
NMCB - 3 UNIT 25269 FPO AP 96601 |
| City | PORT HUENEME |
| State | CA |
| Zip Code | 96601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104153790 | Miguel Angel Lugo | Military Health Care Provider | Uss Los Angeles (ssn 688), Fpo, AP 96601 | 2009-11-03 |
| 1316136435 | Todd Everett Wende | Military Health Care Provider | Ccsg 5 Unit 25660, Fpo, AP 96601 | 2007-10-15 |
| 1114368925 | Daniel Thomas Johnston | Military Health Care Provider | Mcm Crew Bulwark, Fpo, AP 96601-0201 | 2013-07-09 |
| 1285867200 | Kimberly Leigh Weber | Military Health Care Provider | Msron 5, Fpo, AP 96601-2206 | 2009-08-25 |
| 1891032413 | Joseph John Pica | Military Health Care Provider | Naval Mobile Construction Battalion Three, Nmcb-3 Unit 25269, Fpo, AP 96601-4921 | 2013-01-16 |
| 1902031065 | Joseph M. Haner Jr. | Military Health Care Provider | Nmcb 3 B1436, Unit 25269, Fpo, AP 96601-4921 | 2009-05-19 |
| 1528027653 | Sean Courtney Madsen | Military Health Care Provider | Nmcb 3, Unit 25269, Fpo, AP 96601-4921 | 2006-03-18 |
| 1811243827 | Randall Lee Connolly | Military Health Care Provider | Nmcb Four Unit 25284, Fpo, Fpo, AP 96601-4941 | 2012-07-27 |
| 1740511260 | Frank Gonzalez V | Military Health Care Provider | Nmcb 4, 25284, Fpo, AP 96601-4941 | 2010-01-22 |
| 1891970026 | Michael Shannon Clifton | Military Health Care Provider | Nmcb 5, Unit 25294, Fpo Ap, CA 96601-4961 | 2008-01-07 |
| Find all providers in zip 96601 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558852921 | Ryan Kitchens | Military Health Care Provider | 4643 Dock Road Building 524, Port Hueneme, CA 93043 | 2018-05-22 |
| 1629592605 | Andrew Guilmond Nadeau | Military Health Care Provider | 1183 North Ventura Road, Port Hueneme, CA 93041 | 2017-08-01 |
| 1235478728 | Gregory A Williams | Military Health Care Provider | 2600 Dodson St Ste 3, Port Hueneme, CA 93043-4432 | 2013-02-04 |
| 1639424294 | Adam Joseph Newell | Military Health Care Provider | 1991 Pacific Rd, Port Hueneme, CA 93043-4306 | 2012-07-19 |
| 1093043051 | Erik Christian Ketelsen | Military Health Care Provider | 4653 Dock Rd, Bldg 524, Port Hueneme, CA 93043-4321 | 2009-12-01 |
| 1871828723 | Seth T. Secrease | Military Health Care Provider | Naval Clinic Port Hueneme, 162 1st St, Port Hueneme, CA 93043-0001 | 2009-10-09 |
| 1396930129 | Shawn Jeremy Kern | Military Health Care Provider | Underwater Construction Team 2 Medical, 4643 Dock Road Bldg 524, Port Hueneme, CA 93043-0001 | 2007-09-14 |
| 1376754242 | Joshua William Ross | Military Health Care Provider | Naval Ambulatory Care Clinic, 162 1st Street Building 1402, Port Hueneme, CA 93043-0001 | 2007-05-24 |
| 1427266931 | Brian Michael Strahl | Military Health Care Provider | 5 Nmcb 5 Street, Port Hueneme, CA 93041 | 2007-05-18 |
| 1467597476 | Julio Cesar Ortiz | Military Health Care Provider | Naval Ambulatory Care Ctr, 162 First St., Port Hueneme, CA 93043-4316 | 2007-02-20 |
| Find all providers in PORT HUENEME | ||||
| City | PORT HUENEME |
| Zip Code | 96601 |
Please comment or provide details below to improve the information on RYAN T DE LA CRUZ.
| 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.