Santa Cruz Direct Primary Care

LBN: Jeannine M. Rodems, Md Inc
Santa Cruz Direct Primary Care is an health care organization with primary practice located at 9000 Soquel Ave Ste 100 , Santa Cruz CA 95062-2097. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jeannine M. Rodems, Md Inc can be contacted via phone (831) 708-1400, or through Rodems, Jeannine Marie via phone (831) 708-1400.

Contact Information

Primary practice address
9000 Soquel Ave Ste 100 Santa Cruz CA 95062-2097
Fax: (831) 708-1390
Website:
Authorized official contact:
Name: Rodems, Jeannine Marie Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G81126 California

Profile Details

NPI number 1003397381
LBN Legal business name Jeannine M. Rodems, Md Inc
DBA Doing business as Santa Cruz Direct Primary Care
Authorized official Rodems, Jeannine Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2018
Last updated Aug 24th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003397381 NPPES
California MEDICAID 1063587376
California MEDICAID 1376646463

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