Santa Cruz Nephrology Medical Group, Inc.

LBN: Santa Cruz Nephrology Medical Group, Inc.
Santa Cruz Nephrology Medical Group, Inc. is an health care organization with primary practice located at 1595 Soquel Dr. Ste. 210, Santa Cruz CA 95065-1721. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Santa Cruz Nephrology Medical Group, Inc. can be contacted via phone (831) 476-1551, or through Nakatani, Marilu via phone (831) 476-1551.

Contact Information

Primary practice address
1595 Soquel Dr. Ste. 210 Santa Cruz CA 95065-1721
Phone: (831) 476-1551
Fax: (831) 476-3241
Website:
Map and Directions
Authorized official contact:
Name: Nakatani, Marilu
Phone: (831) 476-1551

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A32324 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A72787 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A76684 California

Profile Details

NPI number 1801985874
LBN Legal business name Santa Cruz Nephrology Medical Group, Inc.
DBA Doing business as
Authorized official Nakatani, Marilu
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Dec 7th, 2012 - about 13 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 1801985874 NPPES
California Other ZZZ66323Z BLUE SHIELD PROVIDER ID
California Other DD5840 BLUE SHIELD PROVIDER ID
California MEDICAID 00A320240 BLUE SHIELD PROVIDER ID

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