NAYELY ODETTE CRUZ NP
NPI 1366204018
Nurse Practitioner - Family in West Covina, CA
About Nayely Odette Cruz Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NAYELY ODETTE CRUZ NP (NPI 1366204018) is an individual family provider in West Covina, California, licensed in California (95028764) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nayely Odette Cruz Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST COVINA, CA 91790
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 Nayely Cruz's NPI number?
The NPI number for Nayely Cruz is 1366204018. It was assigned to this individual provider in the NPPES registry on January 29, 2024.
Where is Nayely Cruz located?
Nayely Cruz practices at 1249 S Sunset Ave, West Covina, CA 91790. The listed phone number is (866) 319-4269.
What is Nayely Cruz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nayely Cruz enrolled in Medicare?
Yes. Nayely Cruz is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nayely Cruz was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Nayely Odette Cruz, NP · NPI 1366204018
Family physician in West Covina, California. Individual provider, active in the CMS NPPES registry since January 29, 2024.
## Identity
- **NPI:** 1366204018 (Entity type: Individual)
- **Enumerated:** January 29, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95028764 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1249 S SUNSET AVE, West Covina, CA 91790-3960
- **Phone:** (866) 319-4269
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366204018) · Data from the CMS NPPES public registry.