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MR. DMITRI DE LA CRUZ MD
NPI 1154337053
Pediatrics in Los Banos, CA

Active since July 31, 2006PECOS Enrolled
311 W I ST, LOS BANOS, CA 93635(209) 826-2222(209) 826-2599 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Mar 7, 2023 (2 updates tracked since 2023).

About Mr. Dmitri De La Cruz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DMITRI DE LA CRUZ MD (NPI 1154337053) is an individual pediatrics provider in Los Banos, California, licensed in California (G54368) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154337053
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. DMITRI DE LA CRUZCredential: MD
Location Address311 W I STLos Banos, CA 93635-3479
Mailing Address311 W I StLos Banos, CA 93635-3479 · (209) 826-2222 · Fax (209) 826-2599
Phone(209) 826-2222
Fax(209) 826-2599
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1154337053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G54368
Definition
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.
311 W I ST, Los Banos, CA 93635
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1311 W I St # BLos Banos, CA 93635-3479 · Phone (209) 826-2222 · Fax (209) 826-2599
Location 2400 W I StLos Banos, CA 93635-3459 · Phone (209) 827-9999 · Fax (209) 827-9998
Location 31549 Golden Gate AveDos Palos, CA 93620-2329 · Phone (209) 392-0022 · Fax (209) 392-0011

Other Identifiers 1

OtherG54368License #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Dmitri De La Cruz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93635 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIETTE E TAMAGNI PA-C
Physician Assistant
311 W I ST
LOS BANOS, CA 93635
Merced County (209) 826-2222
SAVUTH KEM PA C
Physician Assistant (Medical)
311 W I ST
LOS BANOS, CA 93635
Merced County (209) 826-2222
GOPI KRISHNA POLASA VENKATA MD
Internal Medicine
311 W I ST
LOS BANOS, CA 93635
Merced County (209) 826-2222
ARVINDSELVAN MOHANASELVAN M.D.
Internal Medicine
311 W I ST
LOS BANOS, CA 93635
Merced County (209) 826-2222
DR. SINA AGHAIE M.D.
Internal Medicine
311 W I ST
LOS BANOS, CA 93635
Merced County (209) 826-2222
DR. VIJAY DEVIREDDY M.D.
Internal Medicine
311 W I ST
LOS BANOS, CA 93635
Merced County (209) 826-2222
KD MEDICAL GROUP INC
Family Medicine
311 W I ST
LOS BANOS, CA 93635
Merced County (209) 826-6444
KARTHIKEYA DEVIREDDY MD INC
Clinic/Center (Rural Health)
311 W I ST
LOS BANOS, CA 93635
Merced County (209) 826-2222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dmitri De La Cruz's NPI number?

The NPI number for Dmitri De La Cruz is 1154337053. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Dmitri De La Cruz located?

Dmitri De La Cruz practices at 311 W I St, Los Banos, CA 93635. The listed phone number is (209) 826-2222.

What is Dmitri De La Cruz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Dmitri De La Cruz enrolled in Medicare?

Yes. Dmitri De La Cruz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dmitri De La Cruz was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.