| Dignity Health Medical Group - Dominican, A Service Of Dignity Health | |
|
1667 Dominican Way Suite 134 Santa Cruz CA 95065-1518 | |
| (831) 475-8834 | |
| Not Available |
| Full Name | Dignity Health Medical Group - Dominican, A Service Of Dignity Health |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1667 Dominican Way, Santa Cruz, California |
| Authorized Official Name and Position | Theresa M Hylen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9168512559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dignity Health Medical Group - Dominican, A Service Of Dignity Health 3000 Q St Sacramento CA 95816-7058 Ph: (916) 733-5701 | Dignity Health Medical Group - Dominican, A Service Of Dignity Health 1667 Dominican Way Suite 134 Santa Cruz CA 95065-1518 Ph: (831) 475-8834 |
| NPI Number | 1043416795 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043416795 | NPI | - | NPPES |
| ZZZ50293Z | Other | BSCA | |
| GR0091685 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Santa Cruz Direct Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9000 Soquel Ave Ste 100, Santa Cruz, CA 95062 Phone: 831-708-1400 Fax: 831-708-1390 | |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Soquel Dr, Suite 411, Santa Cruz, CA 95065 Phone: 831-465-7778 Fax: 831-475-0351 | |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Soquel Dr, Suite 220, Santa Cruz, CA 95065 Phone: 831-476-4200 Fax: 831-476-5052 | |
Martha C. Payne Dmd Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Frederick St, Santa Cruz, CA 95062 Phone: 831-457-0343 | |
Shoreline Middle School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 17th Ave, Santa Cruz, CA 95062 Phone: 831-427-3500 Fax: 831-426-3286 | |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Soquel Dr, Suite 140, Santa Cruz, CA 95065 Phone: 831-462-4444 Fax: 831-462-4488 |