Dmitri De La Cruz, MD
NPI 1154337053 · Pediatrics Physician · Los Banos, CA
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dmitri De La Cruz, MD is a Pediatrics Physician provider in Los Banos, CA (NPI 1154337053).
Provider details
- NPI number
- 1154337053
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G54368 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 1549 Golden Gate AveDos Palos, CA 93620-2329Phone: (209) 392-0022Fax: (209) 392-0011
- 311 W I St # BLos Banos, CA 93635-3479Phone: (209) 826-2222Fax: (209) 826-2599
- 400 W I StLos Banos, CA 93635-3459Phone: (209) 827-9999Fax: (209) 827-9998
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Frequently asked questions
- What is Dmitri De La Cruz's NPI number?
- Dmitri De La Cruz's National Provider Identifier (NPI) is 1154337053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dmitri De La Cruz's specialty?
- Dmitri De La Cruz is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Dmitri De La Cruz located?
- Dmitri De La Cruz's practice location on file with NPPES is 311 W I St, Los Banos, CA 93635-3479.
- What is Dmitri De La Cruz's phone number?
- The practice phone number listed in the NPPES registry for Dmitri De La Cruz is (209) 826-2222.
- Does Dmitri De La Cruz accept Medicare?
- Dmitri De La Cruz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dmitri De La Cruz's NPI active?
- Yes — Dmitri De La Cruz's NPI (1154337053) is active in the NPPES registry as of the last update on 2025-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.