JAMES DOUGLAS BERGUM (NPI# 1073148235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073148235 |
Entity Type | Individual |
Full Name | JAMES DOUGLAS BERGUM |
Credential | CCP |
Practice Address |
1555 Soquel Dr Santa Cruz CA 95065-1794 |
Mailing Address |
144 Holm Rd Spc 31 Watsonville CA 95076-2427 |
Practice Telephone | 8554894580 |
Mailing Telephone | 8312770810 |
Enumeration Date | 2020-03-09 |
Last Update Date | 2020-03-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 242T00000X | Perfusionist | 049011 | Technologists, Technicians & Other Technical Service Providers |
Street Address |
1555 SOQUEL DR |
City | SANTA CRUZ |
State | CA |
Zip Code | 95065-1794 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073583811 | Kathleen Dempsey | Nurse Practitioner | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2006-01-24 |
1790335636 | Melissa L Herceg | Social Worker | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2019-09-12 |
1720633597 | Bonny Masters Md Inc | Physical Medicine & Rehabilitation | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2019-08-07 |
1851869606 | Brian Nalley | Pharmacist | 1555 Soquel Dr, Santa Cruz, CA 95065-1794 | 2018-11-09 |
1619401460 | Emily P Otto | Registered Nurse | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2017-04-19 |
1104289040 | Brook Goddard | Emergency Medicine | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2016-03-29 |
1750754776 | Lora Boone | Physical Medicine & Rehabilitation | 1555 Soquel Dr, Dominican Hospital, Santa Cruz, CA 95065 | 2015-11-13 |
1427433408 | Terrie M Uzunangelov | Speech-Language Pathologist | 1555 Soquel Dr, Santa Cruz, CA 95065 | 2015-07-20 |
1649662131 | David Goldman | Anesthesiology | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2015-02-20 |
1649686841 | Arian Yousefi | Hospitalist | 1555 Soquel Dr, Santa Cruz, CA 95065-1705 | 2014-07-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295335743 | Mindful Living Psychotherapy | Clinic/Center | 24340 Ca-78, Ramona, CA 95065 | 2020-10-26 |
1265084297 | Care From The Heart In Home Services, Inc. | In Home Supportive Care | 3141 Paul Sweet Road, Santa Cruz, CA 95065 | 2019-07-10 |
1215410188 | Barry Lynn Keeler | Pharmacist | Dominican Plaza Pharmacy, 1595 Soquel Dr Suite 120, Santa Cruz, CA 95065 | 2018-09-07 |
1407212582 | Naikan Counseling Center | Community/Behavioral Health | 3319b Mission Drive, Santa Cruz, CA 95065 | 2016-01-05 |
1124461587 | Lindsay Mooney | Obstetrics & Gynecology | 2907 Chanticleer Ave Fl 2, Santa Cruz, CA 95065 | 2013-04-16 |
1689911398 | Gabriela Alejandra Torres De Fernandez | Dentist | 1588 Soquel Dr Suite 3, Santa Cruz, CA 95065 | 2013-01-15 |
1184999211 | Shannon Leigh Purpuri | Midwife | 401 Happy Valley Rd, Santa Cruz, CA 95065 | 2012-03-22 |
1619119997 | Himabindu Pitta | Hospitalist | 1555 Soquel Dr., Santa Cruz, CA 95065 | 2009-04-01 |
1780834614 | Rym C Partridge | Dentist | 3337 Mission Dr., Santa Cruz, CA 95065 | 2008-09-29 |
1710177159 | Jill Bewley | Acupuncturist | 100 Burton Dr, Santa Cruz, CA 95065 | 2007-08-01 |
Find all providers in zip 95065 |
Taxonomy Code | 242T00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Perfusionist |
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821215708 | Michael D Labinger | Perfusionist | 140 Tie Gulch Rd, Santa Cruz, CA 95065-9626 | 2007-04-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518574599 | Jonathan Persa | Perfusionist | 500 Race St Apt 4204, San Jose, CA 95126-5155 | 2020-09-24 |
1215551825 | Samantha Rhymer | Perfusionist | 2280 W El Camino Real Apt 3117, Mountain View, CA 94040-6231 | 2020-05-31 |
1912537770 | Ecmo Prn LLC | Perfusionist | 1246 Mission Rd, South San Francisco, CA 94080-1212 | 2020-01-21 |
1174082424 | Tun Win | Perfusionist | 580 N Wilma Ave Ste F, Ripon, CA 95366-9514 | 2019-03-17 |
1265900609 | Juan Carlos Tud | Perfusionist | 250 Fernando Ave, Palo Alto, CA 94306-2814 | 2018-11-04 |
1801318431 | Kevin Saiki | Perfusionist | 27729 Willow Trl, Escondido, CA 92026-7327 | 2017-07-14 |
1528597234 | Samantha Kollmann | Perfusionist | 700 Bair Island Rd # 230-204, Redwood City, CA 94063-2872 | 2017-06-06 |
1023546991 | Vina Nguyen | Perfusionist | 105 Fairchild Dr, Mountain View, CA 94043-2014 | 2017-05-23 |
1285175679 | Monette Thiele | Perfusionist | 668 Alice St, Monterey, CA 93940-2002 | 2017-03-17 |
1073055521 | Brian Haack | Perfusionist | 4638 Pepperwood Ave, Long Beach, CA 90808-1071 | 2016-11-15 |
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City | SANTA CRUZ |
Zip Code | 95065 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.