Healthcare Provider Details

I. General information

NPI: 1699844985
Provider Name (Legal Business Name): DIGNA CRISTINA CRUZ GROST M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DIGNA CRISTINA CRUZ ESCALONA

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1925 E DAKOTA AVE
FRESNO CA
93726-4821
US

IV. Provider business mailing address

4256 W OVERLOOK DR
SAN DIEGO CA
92115-6113
US

V. Phone/Fax

Practice location:
  • Phone: 559-600-9180
  • Fax:
Mailing address:
  • Phone: 915-497-2618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC175391
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: