CRISIDA DELA CRUZ-YAYA
NPI 1396613063
Student in an Organized Health Care Education/Training Program in Tacoma, WA

Q: What is Crisida Dela Cruz-yaya's NPI number?

The NPI number for Crisida Dela Cruz-yaya is 1396613063. It was assigned to this individual provider in the NPPES registry on October 25, 2025.

Q: What is Crisida Dela Cruz-yaya's specialty?

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

Active since October 25, 2025PECOS Enrolled

1112 S CUSHMAN AVE, TACOMA, WA 98405(253) 593-2144 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Crisida Dela Cruz-yaya NPPES

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

CRISIDA DELA CRUZ-YAYA (NPI 1396613063) is an individual student in an organized health care education/training program in Tacoma, Washington and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1396613063

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCRISIDA DELA CRUZ-YAYA

Location Address1112 S CUSHMAN AVETacoma, WA 98405-3631

Mailing Address9710 State AveMarysville, WA 98270-2232

Phone(253) 593-2144

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 25, 2025

Last NPPES UpdateApril 9, 2026

NPPES CertifiedApril 9, 2026

✔ NPI 1396613063 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.

1112 S CUSHMAN AVE, Tacoma, WA 98405

Open in Google Maps ↗

Secondary Practice Locations 3

Location 19710 State AveMarysville, WA 98270-2232 · Phone (360) 653-1742 · Fax (360) 657-3095

Location 27410 Delaware Ln Uppr LevelVancouver, WA 98664-1408 · Phone (360) 566-4402 · Fax (360) 566-4406

Location 34111 Alderwood Mall BlvdLynnwood, WA 98036-6765 · Phone (425) 616-4100 · Fax (425) 616-4115

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crisida Dela Cruz-yaya is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012492465

PECOS Enrollment IDI20260402002393

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 Crisida Dela Cruz-yaya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sea Mar Community Health Centers

Same address

Federally Qualified Health Center (FQHC)

1112 S CUSHMAN AVE
Tacoma, WA 98405

Reassigned Medicare billing, Washington enrollment
525 clinicians in this Medicare group

NPI 1104974419 (253) 593-2144

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.

NAN SHIN MOYNIHAN DO

Pediatrics