DIGNITY HEALTH MEDICAL FOUNDATION NPI 1548566136

NPI Information

NPI: 1548566136
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

CLIA Number: 05D2035390

Address:
9515 SOQUEL DR
SUITE 100
APTOS, CA
ZIP 95003
Phone: (831) 535-1560
Get Directions

DIGNITY HEALTH MEDICAL FOUNDATION is a multi-specialty clinic center in Aptos, CA. DIGNITY HEALTH MEDICAL FOUNDATION NPI is 1548566136. 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:

9515 SOQUEL DR
SUITE 100
APTOS, CA
ZIP 95003-135
Phone: (831) 535-1560
Fax: (831) 535-1568

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 CLIA number assigned to this NPI record is 05D2035390 - other - outpatient radiology with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2011 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
1	261QM1300X	Clinic/Center	Multi-Specialty		CALIFORNIA	Yes

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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