Provider Type Icon

SANTA CRUZ NEPHROLOGY MEDICAL GROUP INC. NPI 1801985874


NPI Information

NPI: 1801985874
Provider Name: SANTA CRUZ NEPHROLOGY MEDICAL GROUP, INC.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1595 SOQUEL DR.
STE. 210
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 476-1551
Get Directions

SANTA CRUZ NEPHROLOGY MEDICAL GROUP, INC. is a nephrology internal medicine in Santa Cruz, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SANTA CRUZ NEPHROLOGY MEDICAL GROUP, INC. NPI is 1801985874. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1595 SOQUEL DR.
STE. 210
SANTA CRUZ, CA
ZIP 95065-721
Phone: (831) 476-1551
Fax: (831) 476-3241

The provider's authorized official is Marilu Nakatani .
The authorized official title is Account Manager and has the following contact phone number (831) 476-1551.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 12/7/2012.


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
1207RN0300XInternal MedicineNephrologyA72787CALIFORNIANo
2207RN0300XInternal MedicineNephrologyA76684CALIFORNIANo
3207RN0300XInternal MedicineNephrologyA32324CALIFORNIAYes

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
1DD5840OTHERCALIFORNIAMEDICARE RR GROUP#
2I08185MEDICARE UPINCALIFORNIA
300A320240MEDICAIDCALIFORNIA
4G96519MEDICARE UPINCALIFORNIA
5ZZZ66323ZOTHERCALIFORNIABLUE SHIELD PROVIDER ID
6A87599MEDICARE UPINCALIFORNIA
7ZZZ01875ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPROVIDER NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.