SANTA CRUZ ORTHOPAEDIC INSTITUTE A MEDICAL CORPORATION (NPI# 1114029980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114029980 |
| Entity Type | Organization |
| Organization Name | SANTA CRUZ ORTHOPAEDIC INSTITUTE A MEDICAL CORPORATION |
| Other Organization Name | SANTA CRUZ ORTHOPAEDIC INSTITUTE A MEDICAL CORPORATION |
| Practice Address |
4140 Jade Street Suite 100 Capitola CA 95010-3901 |
| Practice Telephone | 8314754024 |
| Practice Fax Number | 8314754344 |
| Mailing Telephone | 8314754024 |
| Mailing Fax Number | 8314754344 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2012-03-30 |
| Authorized Official Name | DR. NICHOLAS ASHAN ABIDI (PRESIDENT/CEO) |
| Authorized Official Telephone | 8314754024 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G85551 | CA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Santa Cruz Orthopaedic Institute a Medical Corporation | Doing Business As Name - Organization |
| Street Address |
4140 JADE STREET SUITE 100 |
| City | CAPITOLA |
| State | CA |
| Zip Code | 95010-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548273758 | Nicholas Ashan Abidi | Orthopaedic Surgery | 4140 Jade Street, Suite 100, Capitola, CA 95010-3901 | 2006-08-15 |
| 1518412659 | Orthonorcal Inc | Orthopaedic Surgery | 4140 Jade Street, Suite 100, Capitola, CA 95010 | 2016-08-18 |
| 1619206067 | John E. Gochangco | Physician Assistant | 4140 Jade Street, Suite 100, Capitola, CA 95010-3901 | 2009-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609436641 | Suzanne Lerner | Psychologist | 720a Capitola Ave, Capitola, CA 95010 | 2019-06-20 |
| 1801351317 | Michael Stephen Quinn | Chiropractor | 720 A- Capitola Ave, Capitola, CA 95010 | 2019-02-08 |
| 1053885194 | Health In Mind P.C. | Psychiatry & Neurology | 610 Capitola Ave, Capitola, CA 95010 | 2019-01-11 |
| 1427547355 | Jerry Wallace Fulford | Massage Therapist | 4170 Gross Rd. Extension, Suite 6, Capitola, CA 95010 | 2018-05-07 |
| 1457730293 | Cpap Experts LLC | Durable Medical Equipment & Medical Supplies | 820 Bay Ave #203a, Capitola, CA 95010 | 2015-05-26 |
| 1972904241 | Molly Chaudoir | Acupuncturist | 4170 Gross Rd. Ext., Suite 6, Santa Cruz, CA 95010 | 2014-09-05 |
| 1245598374 | Stan C Wolken | Dentist | 4770 Capitola Rd, Capitola, CA 95010 | 2012-04-26 |
| 1104103399 | Jacinda Ann Maurer | Registered Nurse | 4725 Grace Street, Apt. 1, Capitola, CA 95010 | 2011-11-16 |
| 1508043225 | Brian J. Schabel, Dds, Ms & Vivian H. Chan, Dds, Ms, Inc. | Dentist | 1830 41st Ave., Capitola, CA 95010 | 2008-01-24 |
| 1609066679 | Sandra Polakoff | Marriage & Family Therapist | 519 Capitola Avenue, Suite B, Capitola, CA 95010 | 2007-07-26 |
| Find all providers in zip 95010 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417096892 | Barbara Macfarlane | Specialist | 1260 41st Ave, Capitola, CA 95010-3929 | 2007-02-05 |
| 1619398153 | Orthonorcal, Inc. | Specialist | 4140 Jade St, Ste 100, Capitola, CA 95010 | 2013-12-31 |
| 1942469952 | Christian S Heywood | Specialist | 4140 Jade St Ste 100, Capitola, CA 95010-3940 | 2008-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113072 | Jonalyn Coronel | Specialist | 653 Canyon Rd, Novato, CA 94947-4331 | 2020-10-28 |
| 1497353239 | Nadia Nodoust-christensen | Specialist | 1627 Curtis Ave, Manhattan Beach, CA 90266-7022 | 2020-10-14 |
| 1073111936 | Griffin Nutrition Xterem | Specialist | 21575 Dome Trl, Topanga, CA 90290-3645 | 2020-10-13 |
| 1811503162 | George Thomas Lafortune | Specialist | 7927 Painter Ave Ste 200, Whittier, CA 90602-2480 | 2020-09-22 |
| 1699383661 | Transgender Health and Wellness Center | Specialist | 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 | 2020-07-16 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1417572462 | Sarah Velez | Specialist | 1001 Potrero Ave Rm 7g19, San Francisco, CA 94110-3518 | 2020-06-15 |
| 1295350668 | Bette Graff | Specialist | 4148 10th St, Riverside, CA 92501-3110 | 2020-06-11 |
| 1114541463 | Serena Mink | Specialist | 100 Park Plz Apt 407, San Diego, CA 92101-6710 | 2020-06-02 |
| 1811510043 | Michael J Kodrich | Specialist | 40555 California Oaks Rd, Murrieta, CA 92562-5723 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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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.