MARY ROSE DIANA K. DE LA CRUZ APRN – NPI #1619851953
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Health Care Provider Taxonomy Code for Family Medicine

MARY ROSE DIANA DE LA CRUZ is a physician located in LAS VEGAS, NV. NPPES has assigned the NPI number 1619851953 to MARY ROSE DIANA DE LA CRUZ on July 31, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was last updated on Apr 30, 2026. 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 MARY ROSE DIANA DE LA CRUZ below.

NPI Profile for
MARY ROSE DIANA K. DE LA CRUZ

NPI Number
1619851953
Enumeration Date

(about 10 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY ROSE DIANA K. DE LA CRUZ
Credentials
APRN
Primary location
8905 W POST RD STE 110
LAS VEGAS, NV 89148-2429
Phone: (702) 927-6866 Fax:
1 Other location(s):
222 N Pacific Coast Hwy Ste 1420
El Segundo, CA 90245-5648
Phone: (877) 878-3289
Fax: (877) 817-3227
Mailing address
432 EASTGATE LN
MARTINEZ, CA 94553-4191
Phone: (702) 927-6866 Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 30, 2026

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
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)		 NV 891144
363LP2300X
- Nurse Practitioner / Primary Care		 NV 891144

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

Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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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.