VICTOR EMIDIO CRUZ M.P.T.
NPI 1902000524
Physical Therapist - Orthopedic in San Diego, CA

Q: What is Victor Cruz's NPI number?

The NPI number for Victor Cruz is 1902000524. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Q: What is Victor Cruz's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Victor Cruz was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 14, 2007Accepts Medicare Assignment

4650 PALM AVE, SAN DIEGO, CA 92154(619) 662-6935(619) 662-5435 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Victor Emidio Cruz M.p.t. NPPES

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

VICTOR EMIDIO CRUZ M.P.T. (NPI 1902000524) is an individual orthopedic provider in San Diego, California, licensed in California (PT 19142) and active in the NPI registry since June 2007. He is a graduate of Other (1993).

NPPES Registry Identity

NPI1902000524

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameVICTOR EMIDIO CRUZCredential: M.P.T.

Location Address4650 PALM AVESan Diego, CA 92154-8404

Mailing Address4349 Mount Putman AveSan Diego, CA 92117-4750 · (858) 573-1722

Phone(619) 662-6935

Fax(619) 662-5435

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateJune 14, 2007

Last NPPES UpdateDecember 8, 2021

✔ NPI 1902000524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in CA · PT 19142

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

4650 PALM AVE, San Diego, CA 92154

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Victor Emidio Cruz M.p.t. 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 ID1557499613

PECOS Enrollment IDI20100511000235

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.

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