ANDREW ROBERT HULTGREN


Address: 2025 Soquel Ave, Santa Cruz, CA 95062-1323
Phone: 8314584888

ANDREW ROBERT HULTGREN (NPI# 1205323607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205323607
Entity Type Individual
Full Name ANDREW ROBERT HULTGREN
Credential MS RN PMHNP-BC
Practice Address 2025 Soquel Ave
Santa Cruz
CA 95062-1323
Mailing Address 325 Distel Cir
Los Altos
CA 94022-1408
Practice Telephone 8314584888
Enumeration Date 2018-04-20
Last Update Date 2020-10-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
95140460 CA Nursing Service Providers
N 363L00000X Nurse Practitioner 95012928 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
95012928 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1501 Fruitvale Ave, Oakland, CA 946012322 5105356200

Office Location

Street Address 2025 SOQUEL AVE
City SANTA CRUZ
State CA
Zip Code 95062-1323

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619970118 Marin Muller Specialist 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2005-05-27
1669932588 Farzana Abed Nurse Practitioner 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2019-03-25
1124593207 Jennifer Pfeiffer Nurse Practitioner 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2018-10-04
1184163396 Emily Vandenberg Nurse Practitioner 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2017-02-21
1720526635 Joseph Farsakh Physician Assistant 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2017-02-10
1891159984 Qiuying Huang Family Medicine 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2016-04-05
1700249679 Thomas Edwin Quigg Family Medicine 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2016-03-29
1972964278 Dana James Physician Assistant 2025 Soquel Ave, Santa Cruz, CA 95062 2016-03-14
1518322866 Kayce H Ryberg Nurse Practitioner 2025 Soquel Ave, 2nd Floor, Santa Cruz, CA 95062-1323 2015-12-30
1689048019 Allison Chadwick Physician Assistant 2025 Soquel Ave, Santa Cruz, CA 95062-1323 2015-11-23
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669975777 Blythe Ballaao Nurse Practitioner 1400 Emeline Ave, Santa Cruz, CA 95060 2018-03-14
1235672502 Kelsey Lynn Kloberdanz Nurse Practitioner 1400 Emeline Ave, Santa Cruz, CA 95060-1976 2016-11-18
1811013469 Kathryn Johnson Nurse Practitioner 412 Cedar St, Suite C, Santa Cruz, CA 95060-4369 2007-03-22
1881736338 Michael A O'connor Nurse Practitioner 2025 Soquel Ave, Santa Cruz, CA 95062 2007-02-13
1932120557 James Ariss Reggio Nurse Practitioner 1400 Emeline Ave, Santa Cruz, CA 95060-1976 2006-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477154573 Marcus Jang Nurse Practitioner 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 2020-11-04
1033718580 John Sylvanus Allieu Sr. Nurse Practitioner 2672 Merganser Ct, Los Banos, CA 93635-9473 2020-10-25
1316546930 Chika U Oguagha Nurse Practitioner 16240 Carmine St, Fontana, CA 92336-1481 2020-10-23
1215534888 Rosa Maria Aguero Nurse Practitioner 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 2020-10-06
1134726995 Margarita Maghtesyan Nurse Practitioner 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 2020-10-05
1043827140 April Lopez Ortiz Nurse Practitioner 500 W Ashland Ct, Visalia, CA 93277-6609 2020-09-23
1477167666 David Joseph Russell Nurse Practitioner 17846 Glenwood Rd, Manteca, CA 95336-9521 2020-09-03
1194339382 Albert Liu Nurse Practitioner 43559 Southerland Way, Fremont, CA 94539-5931 2020-09-03
1407469554 Andre Alexandrian Nurse Practitioner 1606 Winona Ave, Burbank, CA 91504-2823 2020-08-28
1790398238 Heather Richardson Nurse Practitioner 112 S Park St Ste 1, San Francisco, CA 94107-1809 2020-08-25
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Competitor

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City SANTA CRUZ
Zip Code 95062

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Dataset Information

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.

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