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

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: August 02, 2026.

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
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Secondary Practice Locations 3

Location 19710 State AveMarysville, WA 98270-2232 · Phone (360) 653-1742 · Fax (360) 657-3095
Location 24111 Alderwood Mall BlvdLynnwood, WA 98036-6765 · Phone (425) 616-4100 · Fax (425) 616-4115
Location 37410 Delaware Ln Uppr LevelVancouver, WA 98664-1408 · Phone (360) 566-4402 · Fax (360) 566-4406

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144
SEA-MAR COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144
IAIN BREWER FNP-C
Nurse Practitioner
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (535) 932-1442
DR. JANITZIA SCHURCH DIAZ MD
Internal Medicine
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144
MIGUEL ANGEL BALDERRAMA MD
Family Medicine
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144
LUKE JOSEPH FRANK
Counselor (Mental Health)
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144
MARGARET KAROLE BOYLE ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144
DIANNA LYNN WACHTEL PA-C
Physician Assistant
1112 S CUSHMAN AVE
TACOMA, WA 98405
Pierce County (253) 593-2144

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 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.

Where is Crisida Dela Cruz-yaya located?

Crisida Dela Cruz-yaya practices at 1112 S Cushman Ave, Tacoma, WA 98405. The listed phone number is (253) 593-2144.

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.

Is Crisida Dela Cruz-yaya enrolled in Medicare?

Yes. Crisida Dela Cruz-yaya is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Crisida Dela Cruz-yaya was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.