MONTEREY BAY HEART CENTER (NPI# 1720100480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720100480 |
| Entity Type | Organization |
| Organization Name | MONTEREY BAY HEART CENTER |
| Practice Address |
1595 Soquel Dr Ste 360 Santa Cruz CA 95065-1723 |
| Practice Telephone | 8314799500 |
| Mailing Telephone | 8314799500 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-05-29 |
| Authorized Official Name | DR. BENJAMIN N POTKIN (CEO) |
| Authorized Official Telephone | 8314799500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G55040 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0071630 | 05 |
| Street Address |
1595 SOQUEL DR STE 360 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952494494 | James Joel Kohut | Neurological Surgery | 1595 Soquel Dr Ste 360, Santa Cruz, CA 95065-1723 | 2006-10-02 |
| 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 | 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 |
|---|---|---|---|---|
| 1730733841 | Edgar Cruz Hernandez | Specialist | 626 Trevethan Ave, Santa Cruz, CA 95065-1345 | 2019-07-26 |
| 1043603731 | Mamacare | Specialist | 441 Spring St, Santa Cruz, CA 95060-2042 | 2015-03-05 |
| 1750561668 | Carolyn Trupti Israel | Specialist | 131 Front St, Santa Cruz, CA 95060-4401 | 2007-11-07 |
| 1083736565 | Lisa Lynn Lewis | Specialist | 515 S Branciforte Ave, Santa Cruz, CA 95062-3326 | 2007-04-04 |
| 1861565376 | Paula S Quinn | Specialist | 1555 Soquel Avenue, Santa Cruz, CA 95065-1705 | 2006-11-15 |
| 1558431718 | Roger Alan Kimball | Specialist | 917 Soquel Ave, Santa Cruz, CA 95062-2122 | 2006-11-08 |
| 1477533354 | Sigrid L. Rodoni | Specialist | 453 Isbel Dr, Santa Cruz, CA 95060-1923 | 2006-01-18 |
| 1619970118 | Marin Muller | Specialist | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2005-05-27 |
| 1972506632 | Paul Jeffrey Godin | Specialist | 700 Frederick Street Suite 203, Dhmg - Dominican, Santa Cruz, CA 95062 | 2005-05-24 |
| 1861840936 | Consuelo Chavarria | Specialist | 250 Locust St, Santa Cruz, CA 95060-3813 | 2016-05-31 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95065 |
Please comment or provide details below to improve the information on MONTEREY BAY HEART CENTER.
| 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.