CHANCELOR CRUZ MD
NPI 1407341860
Psychiatry & Neurology - Neurology in Los Angeles, CA

Active since June 28, 2018PECOS EnrolledAccepts Medicare Assignment
1200 N STATE STREET, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033(323) 409-1000 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 30, 2024, Oct 12, 2023, Jun 28, 2018 (3 updates tracked since 2018).

About Chancelor Cruz Md NPPES

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

CHANCELOR CRUZ MD (NPI 1407341860) is an individual neurology provider in Los Angeles, California, licensed in California (A163485) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2018).

NPPES Registry Identity

NPI1407341860
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameCHANCELOR CRUZCredential: MD
Location Address1200 N STATE STREET, CLINIC TOWER, SUITE A7DLos Angeles, CA 90033-1029
Mailing Address5000 Sunset AveLos Angeles, CA 90027
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2018
Enumeration DateJune 28, 2018
Last NPPES UpdateApril 30, 20243 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1407341860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A163485
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1200 N STATE STREET, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chancelor Cruz Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426445529
PECOS Enrollment IDI20220419002850
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 Chancelor Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
3303 N. BROADWAY, 3RD AND 4TH FLOOR
Los Angeles, CA 90031
  • Reassigned Medicare billing, California enrollment
  • 533 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Neurological Surgery
1200 N STATE STREET, SUITE 3300
LOS ANGELES, CA 90033
Psychiatry & Neurology (Psychiatry)
1200 N STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1200 N STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Dentist (General Practice)
1200 N STATE STREET, CLINICAL TOWER, SUITE A7D
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE STREET, LAC USC MEDICAL CENTER
LOS ANGELES, CA 90033
Internal Medicine (Gastroenterology)
1200 N STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Emergency Medicine
1200 N STATE STREET, CLINIC TOWER, ROOM 1011
LOS ANGELES, CA 90033
Dietitian, Registered (Nutrition, Pediatric)
1200 N STATE STREET
LOS ANGELES, CA 90033

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 Chancelor Cruz's NPI number?

The NPI number for Chancelor Cruz is 1407341860. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Chancelor Cruz located?

Chancelor Cruz practices at 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033. The listed phone number is (323) 409-1000.

What is Chancelor Cruz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Chancelor Cruz enrolled in Medicare?

Yes. Chancelor Cruz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Chancelor Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chancelor Cruz reassigns Medicare benefits to Los Angeles County Department Of Mental Health (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chancelor Cruz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chancelor Cruz was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.