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SHANTALLE LORILYNN DIAZ CRUZ M.D.
NPI 1366239451
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since April 22, 2025
UC DAVIS HEALTH DEPARTMENT OF PEDIATRICS, 2516 STOCKTON BOULEVARD, SACRAMENTO, CA 95817(916) 734-3665(916) 734-0342 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shantalle Lorilynn Diaz Cruz M.d. NPPES

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

SHANTALLE LORILYNN DIAZ CRUZ M.D. (NPI 1366239451) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1366239451
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANTALLE LORILYNN DIAZ CRUZCredential: M.D.
Location AddressUC DAVIS HEALTH DEPARTMENT OF PEDIATRICS, 2516 STOCKTON BOULEVARDSacramento, CA 95817
Mailing Address718 Hobart AvenueAtlantic City, NJ 08401 · (829) 904-8858
Phone(916) 734-3665
Fax(916) 734-0342
Sole ProprietorYes
Enumeration DateApril 22, 2025
Last NPPES UpdateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
✔ NPI 1366239451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
UC DAVIS HEALTH DEPARTMENT OF PEDIATRICS, Sacramento, CA 95817
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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 Shantalle Diaz Cruz's NPI number?

The NPI number for Shantalle Diaz Cruz is 1366239451. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Shantalle Diaz Cruz located?

Shantalle Diaz Cruz practices at Uc Davis Health Department Of Pediatrics 2516 Stockton Boulevard, Sacramento, CA 95817. The listed phone number is (916) 734-3665.

What is Shantalle Diaz Cruz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shantalle Diaz Cruz was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.