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MR. EDWARD LAZARO DE LA CRUZ
NPI 1215209101
Marriage & Family Therapist in Pomona, CA

Active since February 07, 2012PECOS Enrolled
2008 N GAREY AVE, POMONA, CA 91767(909) 623-6131(909) 865-9281 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 15, 2022, Jan 28, 2020 (2 updates tracked since 2020).

About Mr. Edward Lazaro De La Cruz NPPES

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

MR. EDWARD LAZARO DE LA CRUZ (NPI 1215209101) is an individual marriage & family therapist in Pomona, California, licensed in California (114363) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215209101
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. EDWARD LAZARO DE LA CRUZ
Location Address2008 N GAREY AVEPomona, CA 91767-2722
Mailing Address2008 N Garey AvePomona, CA 91767-2722 · (909) 623-6131 · Fax (909) 865-9281
Phone(909) 623-6131
Fax(909) 865-9281
Sole ProprietorYes
Enumeration DateFebruary 7, 2012
Last NPPES UpdateFebruary 15, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
✔ NPI 1215209101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 114363
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2008 N GAREY AVE, Pomona, CA 91767
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Edward Lazaro De La Cruz 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.

Medicare Billing Reassignment

Medicare enrollment records show Edward De La Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
4.4 mi
Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1396287082 (888) 750-0036

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MARIA CAROLINA OUSTAD
Rehabilitation Practitioner
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 784-3236
KWONTA PHATIPHONG
Marriage & Family Therapist
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
ADDISON HAWTHORNE
Social Worker (Clinical)
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
DR. CARLOS A MURALLES M.D.
Psychiatry & Neurology (Psychiatry)
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
KIRANDEEP SANDHU
Psychiatry & Neurology (Psychiatry)
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
KRISTI ROMERO
Peer Specialist
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
SAMANTHA RITA KOEMANS
Student in an Organized Health Care Education/Training Program
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6131
ROBERT PAUL HIJAR
Community Health Worker
2008 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 539-7729

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 Edward De La Cruz's NPI number?

The NPI number for Edward De La Cruz is 1215209101. It was assigned to this individual provider in the NPPES registry on February 7, 2012.

Where is Edward De La Cruz located?

Edward De La Cruz practices at 2008 N Garey Ave, Pomona, CA 91767. The listed phone number is (909) 623-6131.

What is Edward De La Cruz's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Edward De La Cruz enrolled in Medicare?

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

Which organization bills Medicare for Edward De La Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward De La Cruz reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward De La Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward De La Cruz was last updated on February 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.