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:
Health care specialties
Specialty | Code | License # | 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 12 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 | 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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