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ILDEFONSO CRUZ M D A PROFESSIONAL CORP
NPI 1821399635
Family Medicine in Fresno, CA

Active since November 10, 2010
1646 E HERNDON AVE STE 102, FRESNO, CA 93720(559) 449-7300(559) 449-7311 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ildefonso Cruz M D A Professional Corp NPPES

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

ILDEFONSO CRUZ M D A PROFESSIONAL CORP (NPI 1821399635) is a healthcare organization registered as a family medicine in Fresno, California and active in the NPI registry since November 2010. The organization lists Ildefonso Cruz, President, as its authorized official.

NPPES Registry Identity

NPI1821399635
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameILDEFONSO CRUZ M D A PROFESSIONAL CORP
Location Address1646 E HERNDON AVE STE 102Fresno, CA 93720-3380
Mailing Address1646 E Herndon Ave Ste 102Fresno, CA 93720-3380 · (559) 449-7300 · Fax (559) 449-7311
Phone(559) 449-7300
Fax(559) 449-7311
Organization SubpartNo
Authorized OfficialIldefonso CruzPresident · (559) 449-7300
Enumeration DateNovember 10, 2010
Last NPPES UpdateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
✔ NPI 1821399635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G28469
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1646 E HERNDON AVE STE 102, Fresno, CA 93720
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Other Identifiers 3

Other05D0589791Clia
Medicaid00G284690CA
OtherG28469CA · Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILDEFONSO CRUZ MD MEDICAL CORPORATION
Family Medicine
1646 E HERNDON AVE STE 102
FRESNO, CA 93720
Fresno County (559) 449-7300

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 Ildefonso Cruz M D A Professional Corp's NPI number?

The NPI number for Ildefonso Cruz M D A Professional Corp is 1821399635. It was assigned to this organization in the NPPES registry on November 10, 2010.

Where is Ildefonso Cruz M D A Professional Corp located?

Ildefonso Cruz M D A Professional Corp is located at 1646 E Herndon Ave Ste 102, Fresno, CA 93720. The listed phone number is (559) 449-7300.

What is Ildefonso Cruz M D A Professional Corp's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ildefonso Cruz M D A Professional Corp was last updated on February 23, 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.