GINA KATHLEEN CRUZ (DO) – Orthopaedic Surgery Physician, NPI 1629279302

GINA KATHLEEN CRUZ (DO) is a healthcare provider. based in Redlands, California. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials DO. They hold a License No. 20A9569 (CA). The NPI Number for GINA KATHLEEN CRUZ (DO) is 1629279302

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
GINA KATHLEEN CRUZ (DO)
NPI
1629279302
Phone
(909) 967-4337
Address
900 W SUNSET DR
Enumeration Date
30 May 2007
Last Update Date
3 December 2021

Doctor Profile

Medical School Name
COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Secondary Phone
9513532000
Graduation Year
2004 (22 years ago)
PAC ID
4486841822
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20101210000152
Address ID
CA925053043RI10800AVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,040 ORTHOPEDIC SURGERY in CA

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Provider Addresses for GINA KATHLEEN CRUZ (DO)

  • 900, West Sunset Drive, Smiley Heights, Redlands, San Bernardino County, California, 92373, United States

    REDLANDS, CA 923736940

    Phone: (909) 967-4337

    Type: Mailing

  • Riverside University Health System - Medical Center, 26520, Cactus Avenue, Moreno Valley, Riverside County, California, 92555, United States

    MORENO VALLEY, CA 925553927

    Phone: (951) 486-5690

    Fax: (951) 486-4106

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101210000152IOrthopedic SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92373)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Physician AssistantCA
N E U R O L O G YCA
Internal MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family Practice, Sports MedicineCA
Internal MedicineNY

Reviews

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Frequently asked questions

Can I use this page to confirm GINA KATHLEEN CRUZ (DO)'s NPI?
Yes. GINA KATHLEEN CRUZ (DO) is listed with NPI 1629279302 in the public NPI dataset.
Can I rely on GINA KATHLEEN CRUZ (DO) being an active provider?
As of the registry snapshot, GINA KATHLEEN CRUZ (DO) is marked active.
What is GINA KATHLEEN CRUZ (DO)'s specialty?
The listing groups GINA KATHLEEN CRUZ (DO) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for GINA KATHLEEN CRUZ (DO)?
GINA KATHLEEN CRUZ (DO)'s geographic hint is Redlands, California in our summary view.
Why does GINA KATHLEEN CRUZ (DO) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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