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
Phone: (831) 708-1400
Fax: (831) 708-1390
Website:
Authorized official contact:
Name: Rodems, Jeannine Marie Doctor of Medicine (MD)
Phone: (831) 708-1400
Health care specialties
Specialty | Code | License # | 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 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003397381 | NPPES |
California | MEDICAID | 1063587376 | |
California | MEDICAID | 1376646463 |
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