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RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC NPI 1992715601


NPI Information

NPI: 1992715601
Provider Name: RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC

Other Name: DOMINICAN MRI CENTER

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1545 SOQUEL DRIVE
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 476-2569
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RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC is a diagnostic radiology radiology in Santa Cruz, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC NPI is 1992715601. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dominican Mri Center.

The provider's business location address is:

1545 SOQUEL DRIVE
SANTA CRUZ, CA
ZIP 95065-705
Phone: (831) 476-2569
Fax: (831) 464-8977

The provider's authorized official is Kenneth E Averill .
The authorized official title is President and has the following contact phone number (831) 476-1542.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 3/27/2008.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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
1ZZZ74648ZOTHERCALIFORNIABLUE SHIELD
2ZZZ73807ZMEDICARE PIN
3ZZZ73806ZMEDICAIDCALIFORNIA
4CN8304MEDICARE PIN

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: 11/14/2023

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.