KAREN M. DE LA CRUZ MD
NPI 1932303070
Pediatrics in Fontana, CA

Active since June 13, 2007PECOS Enrolled
9961 SIERRA AVE, FONTANA, CA 92335(909) 427-3910 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Karen M. De La Cruz Md NPPES

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

KAREN M. DE LA CRUZ MD (NPI 1932303070) is an individual pediatrics provider in Fontana, California, licensed in California (A89354) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932303070
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKAREN M. DE LA CRUZCredential: MD
Location Address9961 SIERRA AVEFontana, CA 92335-6720
Mailing Address9961 Sierra AveFontana, CA 92335-6720 · (909) 427-3910
Sole ProprietorNo
Enumeration DateJune 13, 2007
Last NPPES UpdateDecember 3, 2021
✔ NPI 1932303070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A89354
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9961 SIERRA AVE, Fontana, CA 92335

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen M. De La Cruz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Karen De La Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1952333460 (California)
  • 5,228 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 92335 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Physical Therapist
9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335
Pediatrics
9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
Pathology (Dermatopathology)
9961 SIERRA AVE
FONTANA, CA 92335
Dietitian, Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Anesthetist, Certified Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335

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 Karen De La Cruz's NPI number?

The NPI number for Karen De La Cruz is 1932303070. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Karen De La Cruz located?

Karen De La Cruz practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-3910.

What is Karen De La Cruz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Karen De La Cruz enrolled in Medicare?

Yes. Karen De La Cruz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen De La Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen De La Cruz reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Karen De La 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 Karen De La Cruz was last updated on December 3, 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.