DIGNITY HEALTH MEDICAL FOUNDATION (NPI# 1205020567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205020567 |
| Entity Type | Organization |
| Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Other Organization Name | DIGNITY HEALTH MEDICAL GROUP - DOMINICAN, A SERVICE OF DIGNITY HEALTH |
| Practice Address |
1595 Soquel Dr Suite 310 Santa Cruz CA 95065-1719 |
| Mailing Address |
3000 Q St Sacramento CA 95816-7058 |
| Practice Telephone | 8314748880 |
| Practice Fax Number | 8314648881 |
| Mailing Telephone | 9167335701 |
| Mailing Fax Number | 9167333401 |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | GEORGE LENZI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9168512559 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dignity Health Medical Group - Dominican, a service of Dignity Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710129275 | Dignity Health Medical Foundation | Clinic/Center | 105 Dean Way, Folsom, CA 95630-2801 | 2009-03-30 |
| 1447492905 | Dignity Health Medical Foundation | Clinic/Center | 6060 Watt Ave, North Highlands, CA 95660-4212 | 2009-03-30 |
| 1366684821 | Dignity Health Medical Foundation | Clinic/Center | 10487 White Rock Rd, Rancho Cordova, CA 95670-5530 | 2009-03-30 |
| 1558495937 | Dignity Health Medical Foundation | Clinic/Center | 7911 Laguna Blvd, Elk Grove, CA 95758-7920 | 2007-03-15 |
| 1780226852 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2019-10-10 |
| 1568989200 | Dignity Health Medical Foundation | Clinic/Center | 3400 Data Dr, Rancho Cordova, CA 95670-7956 | 2017-08-24 |
| 1477074474 | Dignity Health Medical Foundation | Clinic/Center | 3400 Data Dr, Rancho Cordova, CA 95670-7956 | 2017-06-29 |
| 1679019798 | Dignity Health Medical Foundation | Clinic/Center | 6615 Valley Hi Dr, Sacramento, CA 95823-7076 | 2017-01-12 |
| 1508222647 | Dignity Health Medical Foundation | Clinic/Center | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2016-01-05 |
| 1376926527 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 | 2015-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIGNITY HEALTH MEDICAL FOUNDATION | 3400 Data Dr, Rancho Cordova, CA 95670-7956 |
| Street Address |
1595 SOQUEL DR SUITE 310 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891788592 | Marcus R Kwan | Surgery | 1595 Soquel Dr, Suite 340, Santa Cruz, CA 95065-1719 | 2005-08-26 |
| 1346679149 | Dilyana Georgieva | Nurse Practitioner | 1595 Soquel Dr, Suite 400, Santa Cruz, CA 95065-1719 | 2013-11-02 |
| 1437598158 | Steven Matthew Leuck | Pharmacist | 1595 Soquel Dr, Santa Cruz, CA 95065-1719 | 2013-06-15 |
| 1558612770 | Treta Purohit Goyal | Internal Medicine | 1595 Soquel Dr, Suite 140, Santa Cruz, CA 95065-1719 | 2012-09-27 |
| 1710266424 | Anna W Dodge | Audiologist | 1595 Soquel Dr, 230, Santa Cruz, CA 95065-1719 | 2011-08-11 |
| 1831498393 | Matthew Mcleod Ryan | Physical Medicine & Rehabilitation | 1595 Soquel Dr, Suite 110, Santa Cruz, CA 95065-1719 | 2011-03-23 |
| 1174855936 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr, Suite 220, Santa Cruz, CA 95065-1719 | 2010-02-04 |
| 1205067410 | Cheryl S Demonner | Physician Assistant | 1595 Soquel Dr, Suite 400, Santa Cruz, CA 95065-1719 | 2009-08-05 |
| 1184883225 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr, Suite 140, Santa Cruz, CA 95065-1719 | 2008-06-04 |
| 1174798342 | Dominican Hospital Foundation | Non-Pharmacy Dispensing Site | 1595 Soquel Dr, 400, Santa Cruz, CA 95065-1719 | 2008-04-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
| 1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
| 1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
| 1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
| 1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
| 1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
| 1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
| 1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
| 1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
| 1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
| Find all providers in zip 95065 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174855936 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr, Suite 220, Santa Cruz, CA 95065-1719 | 2010-02-04 |
| 1184883225 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr, Suite 140, Santa Cruz, CA 95065-1719 | 2008-06-04 |
| 1649446352 | Dignity Health Medical Foundation | Clinic/Center | 2018 Mission St, Santa Cruz, CA 95060-5218 | 2008-05-02 |
| 1598961245 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr Ste 400, Santa Cruz, CA 95065-1724 | 2007-06-21 |
| 1134325889 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr, Suite 411, Santa Cruz, CA 95065-1719 | 2007-06-21 |
| 1043416795 | Dignity Health Medical Foundation | Clinic/Center | 1667 Dominican Way, Suite 134, Santa Cruz, CA 95065-1518 | 2007-06-21 |
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| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
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| City | SANTA CRUZ |
| Zip Code | 95065 |
Please comment or provide details below to improve the information on DIGNITY HEALTH MEDICAL FOUNDATION.
| 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.