JOSE S. DE LA CRUZ MD – NPI #1003174285
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JOSE DE LA CRUZ is a physician located in TIGARD, OR. NPPES has assigned the NPI number 1003174285 to JOSE DE LA CRUZ on April 25, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Dec 10, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOSE DE LA CRUZ below.

NPI Profile for
JOSE S. DE LA CRUZ

NPI Number
1003174285
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOSE S. DE LA CRUZ
Credentials
MD
Primary location
13200 SW PACIFIC HWY
TIGARD, OR 97223-4828
Phone: (503) 598-2000 Fax: (503) 639-0920
1 Other location(s):
105 Arney Rd Ste 120
Woodburn, OR 97071-9472
Phone: (503) 814-4400
Mailing address
PO BOX 1517
PENDLETON, OR 97801-0410
Phone: (877) 708-1119 Fax: (541) 278-8349
Sole Proprietor
No
Updated
Certification Date
Dec 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 OR MD189150

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE - Graduated 2012
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JOSE DE LA CRUZ is affiliated with the following medical group(s):
  • HOSPITAL
    • LEGACY MERIDIAN PARK MEDICAL CENTER
      19300 SW 65TH AVENUE
      TUALATIN, OR 97062
    • PROVIDENCE ST VINCENT MEDICAL CENTER
      9205 SW BARNES ROAD
      PORTLAND, OR 97225

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.