JEANNINE M. RODEMS, MD INC (NPI# 1003397381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003397381 |
| Entity Type | Organization |
| Organization Name | JEANNINE M. RODEMS, MD INC |
| Other Organization Name | SANTA CRUZ DIRECT PRIMARY CARE |
| Practice Address |
9000 Soquel Ave Ste 100 Santa Cruz CA 95062-2097 |
| Practice Telephone | 8317081400 |
| Practice Fax Number | 8317081390 |
| Mailing Telephone | 8317081400 |
| Mailing Fax Number | 8317081390 |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |
| Authorized Official Name | DR. JEANNINE MARIE RODEMS (CEO) |
| Authorized Official Telephone | 8317081400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G81126 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1376646463 | 05 | |
| CA | 1063587376 | 05 |
| Other Name | Type Code |
|---|---|
| Santa Cruz Direct Primary Care | Doing Business As Name - Organization |
| Street Address |
9000 SOQUEL AVE STE 100 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95062-2097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
| 1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
| 1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
| 1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
| 1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
| 1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
| 1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
| 1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
| 1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
| 1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
| Find all providers in zip 95062 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164783049 | Kyle R Keene | Family Medicine | 1301 Mission St, Santa Cruz, CA 95060-3530 | 2012-06-06 |
| 1346400116 | Jose Luis Barrios Jr. | Family Medicine | 21507 E Cliff Dr # D, Santa Cruz, CA 95062-4844 | 2008-06-14 |
| 1093931834 | Warren Everett Klausner | Family Medicine | 129 Jewell St, Santa Cruz, CA 95060-1717 | 2007-04-18 |
| 1609904143 | Edward Drew Malloy | Family Medicine | University of California Santa Cruz Student Health Ctr, 1156 High Street, Santa Cruz, CA 95064 | 2007-02-28 |
| 1790869238 | Michael J Coulson | Family Medicine | 2980 El Rancho Drive, Santa Cruz, CA 95060 | 2006-10-24 |
| 1114001674 | Dawn Motyka | Family Medicine | 930 Mission St Ste 5, Santa Cruz, CA 95060-3559 | 2006-10-24 |
| 1134229206 | Stephen J Halpern | Family Medicine | 550a Water Street, Santa Cruz, CA 95060 | 2006-09-25 |
| 1205933496 | Santa Cruz Personal Physicians Inc | Family Medicine | 634 Frederick St, Santa Cruz, CA 95062 | 2006-09-20 |
| 1851493761 | Stephen J Halpern & Jack Watson Mds | Family Medicine | 550a Water St, Santa Cruz, CA 95060 | 2006-09-01 |
| 1467484154 | Maria Selhorst Greaves | Family Medicine | 2980 El Rancho Dr, Santa Cruz, CA 95060-1103 | 2006-07-06 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95062 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.