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

Q: 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.

Q: What is Edward De La Cruz's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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