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DIGNITY HEALTH MEDICAL FOUNDATION NPI 1134325889


NPI Information

NPI: 1134325889
Provider Name: DIGNITY HEALTH MEDICAL FOUNDATION

Doing Business As: DIGNITY HEALTH MEDICAL GROUP - DOMINICAN, A SERVICE OF DIGNITY HEALTH

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1595 SOQUEL DR
SUITE 411
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 465-7778
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DIGNITY HEALTH MEDICAL FOUNDATION is a multi-specialty clinic center in Santa Cruz, CA. DIGNITY HEALTH MEDICAL FOUNDATION NPI is 1134325889. The provider is registered as an organization entity type.
The provider Is Doing Business As Dignity Health Medical Group - Dominican, A Service Of Dignity Health.

The provider's business location address is:

1595 SOQUEL DR
SUITE 411
SANTA CRUZ, CA
ZIP 95065-719
Phone: (831) 465-7778
Fax: (831) 475-0351

The provider's authorized official is Theresa M Hylen .
The authorized official title is Chief Financial Officer and has the following contact phone number (916) 851-2559.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 11/18/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ50289ZOTHERBSCA
2GR0091682MEDICAIDCALIFORNIA

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: 5/5/2024

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