EDMUND L SACKS (NPI# 1932260569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932260569 |
| Entity Type | Individual |
| Full Name | EDMUND L SACKS |
| Credential | M.D. |
| Practice Address |
1575 Soquel Dr Santa Cruz CA 95065-1700 |
| Mailing Address |
86 Hollins Dr Santa Cruz CA 95060-1815 |
| Practice Telephone | 8314623050 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2008-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
00G251390 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G251390 | 05 |
| Street Address |
1575 SOQUEL DR |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586610 | Robert K Allen | Colon & Rectal Surgery | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2005-08-26 |
| 1720472616 | Ryan J Schmitt | Physician Assistant | 1575 Soquel Dr, Suite C, Santa Cruz, CA 95065-1700 | 2015-03-27 |
| 1619264363 | Surindra N. Mitruka, M.d. A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1575 Soquel Dr, Suite #c, Santa Cruz, CA 95065-1709 | 2011-07-01 |
| 1508095894 | Innovative Spine Surgery | Orthopaedic Surgery | 1575 Soquel Dr, B, Santa Cruz, CA 95065-1700 | 2009-07-08 |
| 1073780011 | Monterey Bay Urology Associates | Urology | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2008-05-09 |
| 1306988381 | Santa Cruz Radiation Oncology Medical Group, Incorporated | Radiology | 1575 Soquel Dr, Suite 100, Santa Cruz, CA 95065-1700 | 2007-02-13 |
| 1821145749 | Daniel G Manion | Physician Assistant | 1575 Soquel Dr, Ste C, Santa Cruz, CA 95065-1700 | 2007-01-04 |
| 1013079649 | Charlotte Y Kim | Radiology | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2006-12-13 |
| 1720140353 | Jay A Meisel | Radiology | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2006-12-13 |
| 1508955634 | Akram Esmaeili | Physician Assistant | 1575 Soquel Dr, #b, Santa Cruz, CA 95065-1700 | 2006-10-12 |
| Find all providers in the same location | ||||
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306988381 | Santa Cruz Radiation Oncology Medical Group, Incorporated | Radiology | 1575 Soquel Dr, Suite 100, Santa Cruz, CA 95065-1700 | 2007-02-13 |
| 1013079649 | Charlotte Y Kim | Radiology | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2006-12-13 |
| 1720140353 | Jay A Meisel | Radiology | 1575 Soquel Dr, Santa Cruz, CA 95065-1700 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95065 |
Please comment or provide details below to improve the information on EDMUND L SACKS.
| 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.