HANNAISE C CRUZ M.D.
NPI 1972773570
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 10, 2008PECOS EnrolledAccepts Medicare Assignment
6041 CADILLAC AVE, LOS ANGELES, CA 90034(323) 857-2799 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hannaise C Cruz M.d. NPPES

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

HANNAISE C CRUZ M.D. (NPI 1972773570) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2007).

NPPES Registry Identity

NPI1972773570
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHANNAISE C CRUZCredential: M.D.
Location Address6041 CADILLAC AVELos Angeles, CA 90034-1702
Mailing Address82 Borcher AveYonkers, NY 10704-2738
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2007
Enumeration DateMarch 10, 2008
Last NPPES UpdateDecember 8, 2021
✔ NPI 1972773570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPediatricsTaxonomy 208000000X · License 257799 (NY)
6041 CADILLAC AVE, Los Angeles, CA 90034

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

Hannaise C Cruz M.d. 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 ID9739315136
PECOS Enrollment IDI20131113000339
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 Hannaise Cruz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

Speech-Language Pathologist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Advanced Practice Midwife
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Internal Medicine (Cardiovascular Disease)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE, KAISER WEST LOS ANGELES MEDICAL CENTER
LOS ANGELES, CA 90034
Internal Medicine
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Internal Medicine
6041 CADILLAC AVE, INTERNAL MEDICINE MODULE 2D
LOS ANGELES, CA 90034
Internal Medicine (Nephrology)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Anesthesiology
6041 CADILLAC AVE
LOS ANGELES, CA 90034

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 Hannaise Cruz's NPI number?

The NPI number for Hannaise Cruz is 1972773570. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Hannaise Cruz located?

Hannaise Cruz practices at 6041 Cadillac Ave, Los Angeles, CA 90034. The listed phone number is (323) 857-2799.

What is Hannaise Cruz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hannaise Cruz enrolled in Medicare?

Yes. Hannaise 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 Hannaise Cruz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hannaise Cruz reassigns Medicare benefits to Southern California Permanente Medical Group (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 Hannaise 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 Hannaise 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.