JAMES DOUGLAS BERGUM


Address: 1555 Soquel Dr, Santa Cruz, CA 95065-1794
Phone: 8554894580

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 242T00000X Perfusionist 049011 Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 1555 SOQUEL DR
City SANTA CRUZ
State CA
Zip Code 95065-1794

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 242T00000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Perfusionist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821215708 Michael D Labinger Perfusionist 140 Tie Gulch Rd, Santa Cruz, CA 95065-9626 2007-04-20

Providers in the same taxonomy and state

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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Competitor

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City SANTA CRUZ
Zip Code 95065

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Dataset Information

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.

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