ANDRE CRUZ
NPI 1669865382
Nurse Anesthetist, Certified Registered in Colton, CA
About Andre Cruz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDRE CRUZ (NPI 1669865382) is an individual nurse anesthetist, certified registered in Colton, California, licensed in California (95000322) and active in the NPI registry since March 2015. He is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andre Cruz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Andre Cruz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Colton, CA 92324
- Reassigned Medicare billing, California enrollment
- 48 clinicians in this Medicare group
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Bakersfield, CA 93301
- Reassigned Medicare billing, California enrollment
- 183 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.
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.
COLTON, CA 92324
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 Andre Cruz's NPI number?
The NPI number for Andre Cruz is 1669865382. It was assigned to this individual provider in the NPPES registry on March 5, 2015.
Where is Andre Cruz located?
Andre Cruz practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-1000.
What is Andre Cruz's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Andre Cruz enrolled in Medicare?
Yes. Andre Cruz is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Andre Cruz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andre Cruz reassigns Medicare benefits to 3 organizations: Inland Empire Anesthesia Medical Group, Inc (Colton, CA), Raelle Anesthesia Inc (Riverside, CA) and Coachella Valley Anesthesia A Professional Corporation (Bakersfield, CA). Each 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 Andre 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 Andre Cruz was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Andre Cruz · NPI 1669865382
Nurse Anesthetist, Certified Registered physician in Colton, California. Individual provider, active in the CMS NPPES registry since March 5, 2015.
## Identity
- **NPI:** 1669865382 (Entity type: Individual)
- **Enumerated:** March 5, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95000322 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 N PEPPER AVE, Colton, CA 92324-1801
- **Phone:** (909) 580-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Inland Empire Anesthesia Medical Group, Inc (NPI 1861502841, Colton, CA); Raelle Anesthesia Inc (NPI 1437499266, Riverside, CA); Coachella Valley Anesthesia A Professional Corporation (NPI 1013662048, Bakersfield, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 3, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1669865382) · Data from the CMS NPPES public registry.