MAXIMILLIAN MANALO CRUZ (NPI# 1538102751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538102751 |
| Entity Type | Individual |
| Full Name | MAXIMILLIAN MANALO CRUZ |
| Credential | P.A-C |
| Practice Address |
400 N. Pepper Avenue Colton CA 92324 |
| Mailing Address |
2100 Powell Street Ste 920 Emeryville CA 94608-1803 |
| Practice Telephone | 9095801400 |
| Mailing Telephone | 5103502600 |
| Mailing Fax Number | 5108799100 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA16563 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 N. PEPPER AVENUE |
| City | COLTON |
| State | CA |
| Zip Code | 92324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366482259 | Christine Beth Bernier | Physician Assistant | 400 N. Pepper Avenue, Colton, CA 92324 | 2006-06-07 |
| 1497259568 | Albert Nguyen | Student in an Organized Health Care Education/Training Program | 400 N. Pepper Avenue, Suite 309, Colton, CA 92324 | 2018-03-22 |
| 1770004012 | Narges Moaddel | Student in an Organized Health Care Education/Training Program | 400 N. Pepper Avenue, Colton, CA 92324 | 2017-06-27 |
| 1477915932 | Brianna Lynn Rogan | Internal Medicine | 400 N. Pepper Avenue, Colton, CA 92324 | 2016-03-24 |
| 1366526170 | Dennis Matthew Carden | Obstetrics & Gynecology | 400 N. Pepper Avenue, Colton, CA 92324-1801 | 2006-10-25 |
| 1922049113 | Richard P. Hausman | Emergency Medicine | 400 N. Pepper Avenue, Colton, CA 92324 | 2006-06-09 |
| 1043251143 | Carol Hyeun Lee | Emergency Medicine | 400 N. Pepper Avenue, Colton, CA 92324 | 2006-06-09 |
| 1003857020 | Eugene Lawrence Kwong | Emergency Medicine | 400 N. Pepper Avenue, Colton, CA 92324 | 2006-06-09 |
| 1023059318 | Lawrence David Gates | Physician Assistant | 400 N. Pepper Avenue, Colton, CA 92324 | 2006-06-09 |
| 1790725687 | Melissa Marie Bielinski | Physician Assistant | 400 N. Pepper Avenue, Colton, CA 92324-1819 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176475 | Samantha Baltazar | Physician Assistant | 2255 Cahuilla St Apt 56, Colton, CA 92324-4742 | 2020-08-28 |
| 1669005054 | Pollyanna Wong | Physician Assistant | 900 E Washington St Ste 301, Colton, CA 92324-8182 | 2020-02-13 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1689136749 | Dinusha Indra Bandaranayake | Physician Assistant | 400 N Pepper Ave Ste 2m206, Colton, CA 92324-1801 | 2019-04-05 |
| 1659801975 | Mikell Angela Schlumpf | Physician Assistant | 400 N Pepper Ave Ste 2mob206, Colton, CA 92324-1801 | 2017-06-19 |
| 1942604236 | Ernest Newton | Physician Assistant | 400 N Pepper Ave, Suite 107, Colton, CA 92324 | 2014-10-15 |
| 1124430145 | Daniela Casas | Physician Assistant | 400 N Pepper Ave Ste M206, Colton, CA 92324-1801 | 2014-05-25 |
| 1275966095 | Peter Dumas | Physician Assistant | 400 N Pepper Ave Ste 1m107, Colton, CA 92324-1801 | 2013-08-15 |
| 1689912230 | Marco Serrano | Physician Assistant | 1306 Highland Ave, Colton, CA 92324-2415 | 2013-01-16 |
| 1063582435 | Stephanie Lynn Morales | Physician Assistant | 400 N Pepper Ave., Colton, CA 92324 | 2006-11-09 |
| Find all providers in COLTON | ||||
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| 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.