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SANTA CRUZ ORTHOPAEDIC INSTITUTE A MEDICAL CORPORATION NPI 1114029980


NPI Information

NPI: 1114029980
Provider Name: SANTA CRUZ ORTHOPAEDIC INSTITUTE A MEDICAL CORPORATION

Doing Business As: SANTA CRUZ ORTHOPAEDIC INSTITUTE A MEDICAL CORPORATION

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4140 JADE STREET
SUITE 100
CAPITOLA, CA
ZIP 95010
Phone: (831) 475-4024
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SANTA CRUZ ORTHOPAEDIC INSTITUTE A MEDICAL CORPORATION is a specialist in Capitola, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SANTA CRUZ ORTHOPAEDIC INSTITUTE A MEDICAL CORPORATION NPI is 1114029980. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Santa Cruz Orthopaedic Institute A Medical Corporation.

The provider's business location address is:

4140 JADE STREET
SUITE 100
CAPITOLA, CA
ZIP 95010-901
Phone: (831) 475-4024
Fax: (831) 475-4344

The provider's authorized official is Nicholas Ashan Abidi .
The authorized official title is President/ceo and has the following contact phone number (831) 475-4024.

The enumeration date for this NPI number is 9/2/2006 and was last updated on 3/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG85551CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G47135MEDICARE UPINCALIFORNIA
2A88014MEDICARE UPINCALIFORNIA
3Q45712MEDICARE UPINCALIFORNIA
4P59612MEDICARE UPINCALIFORNIA
5DS852ZMEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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