SANTA CRUZ NEPHROLOGY MEDICAL GROUP, INC. (NPI# 1801985874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801985874 |
| Entity Type | Organization |
| Organization Name | SANTA CRUZ NEPHROLOGY MEDICAL GROUP, INC. |
| Practice Address |
1595 Soquel Dr. Ste. 210 Santa Cruz CA 95065-1721 |
| Mailing Address |
1595 Soquel Dr Ste 210 Santa Cruz CA 95065-1721 |
| Practice Telephone | 8314761551 |
| Practice Fax Number | 8314763241 |
| Mailing Telephone | 8314761551 |
| Mailing Fax Number | 8314763241 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-12-07 |
| Authorized Official Name | MRS. MARILU NAKATANI (ACCOUNT MANAGER) |
| Authorized Official Telephone | 8314761551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A72787 | CA | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A76684 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A32324 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE RR GROUP# | DD5840 | 01 |
| CA | 00A320240 | 05 | |
| CA | BLUE SHIELD PROVIDER ID | ZZZ66323Z | 01 |
| Street Address |
1595 SOQUEL DR. STE. 210 |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437241809 | Surinder Kumar | Internal Medicine | 1595 Soquel Dr., Suite 210, Santa Cruz, CA 95065-1719 | 2006-09-29 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437241809 | Surinder Kumar | Internal Medicine | 1595 Soquel Dr., Suite 210, Santa Cruz, CA 95065-1719 | 2006-09-29 |
| 1063504447 | Maritina Solomon Rodriguez | Internal Medicine | 1595 Soquel Drive, Suite 210, Santa Cruz, CA 95065-1719 | 2006-09-29 |
| 1538459961 | Shraddha Rana | Internal Medicine | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2011-04-19 |
| 1770779431 | Prachi C Jog | Internal Medicine | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2007-09-17 |
| 1659356137 | William Richard Raffo | Internal Medicine | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2005-12-07 |
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|---|---|---|---|---|
| 1710585328 | Empire Medical Specialist | Internal Medicine | 28625 Quaint St, Agoura Hills, CA 91301-1735 | 2020-10-15 |
| 1538774989 | Modern Telehealth | Internal Medicine | 1509 Espinosa Cir, Palos Verdes Estates, CA 90274-1917 | 2020-09-12 |
| 1073137733 | Jafar Alsaid | Internal Medicine | 2009 Baywood Ln, Davis, CA 95618-0500 | 2020-05-29 |
| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95065 |
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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.