DIGNITY HEALTH MEDICAL FOUNDATION (NPI# 1649446352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649446352 |
| Entity Type | Organization |
| Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Other Organization Name | DIGNITY HEALTH MEDICAL GROUP - DOMINICAN, A SERVICE OF DIGNITY HEALTH |
| Practice Address |
2018 Mission St Santa Cruz CA 95060-5218 |
| Mailing Address |
3000 Q St Sacramento CA 95816-7058 |
| Practice Telephone | 8314657761 |
| Mailing Telephone | 9167335701 |
| Mailing Fax Number | 9168591671 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | GEORGE LENZI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9168512559 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dignity Health Medical Group - Dominican, a service of Dignity Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710129275 | Dignity Health Medical Foundation | Clinic/Center | 105 Dean Way, Folsom, CA 95630-2801 | 2009-03-30 |
| 1447492905 | Dignity Health Medical Foundation | Clinic/Center | 6060 Watt Ave, North Highlands, CA 95660-4212 | 2009-03-30 |
| 1366684821 | Dignity Health Medical Foundation | Clinic/Center | 10487 White Rock Rd, Rancho Cordova, CA 95670-5530 | 2009-03-30 |
| 1558495937 | Dignity Health Medical Foundation | Clinic/Center | 7911 Laguna Blvd, Elk Grove, CA 95758-7920 | 2007-03-15 |
| 1780226852 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy Ste 101, Fontana, CA 92336-1274 | 2019-10-10 |
| 1568989200 | Dignity Health Medical Foundation | Clinic/Center | 3400 Data Dr, Rancho Cordova, CA 95670-7956 | 2017-08-24 |
| 1477074474 | Dignity Health Medical Foundation | Clinic/Center | 3400 Data Dr, Rancho Cordova, CA 95670-7956 | 2017-06-29 |
| 1679019798 | Dignity Health Medical Foundation | Clinic/Center | 6615 Valley Hi Dr, Sacramento, CA 95823-7076 | 2017-01-12 |
| 1508222647 | Dignity Health Medical Foundation | Clinic/Center | 18406 Roscoe Blvd, Northridge, CA 91325-4107 | 2016-01-05 |
| 1376926527 | Dignity Health Medical Foundation | Clinic/Center | 17051 Sierra Lakes Pkwy, Suite 101, Fontana, CA 92336-1274 | 2015-07-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIGNITY HEALTH MEDICAL FOUNDATION | 3400 Data Dr, Rancho Cordova, CA 95670-7956 |
| Street Address |
2018 MISSION ST |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301020 | Whay H Jones | Family Medicine | 2018 Mission St, Santa Cruz, CA 95060-5218 | 2005-07-29 |
| 1164051314 | Alec Steven Rogness | Physician Assistant | 2018 Mission St, Santa Cruz, CA 95060-5218 | 2020-04-08 |
| 1790202778 | Remy A Paille | Registered Nurse | 2018 Mission St, Santa Cruz, CA 95060-5218 | 2017-08-29 |
| 1194259549 | Patrick A Cudahy | Family Medicine | 2018 Mission St, Santa Cruz, CA 95060-5218 | 2017-04-12 |
| 1669891479 | Andrew M Smythe | Family Medicine | 2018 Mission St, Santa Cruz, CA 95060-5218 | 2014-04-08 |
| 1013261908 | Eric Alexander Hohn | Orthopaedic Surgery | 2018 Mission St, Santa Cruz, CA 95060-5218 | 2012-10-31 |
| 1376852889 | Hossein Hassani | Family Medicine | 2018 Mission St, Santa Cruz, CA 95060-5218 | 2010-09-30 |
| 1407170038 | John D. Chico | Family Medicine | 2018 Mission St, Santa Cruz, CA 95060-5218 | 2010-03-25 |
| 1275780603 | Dominican Medical Foundations Mission St. | Non-Pharmacy Dispensing Site | 2018 Mission St, Santa Cruz, CA 95060-5218 | 2008-08-27 |
| 1093997181 | Jackson Cameron Nagle | Family Medicine | 2018 Mission St, Santa Cruz, CA 95060-5218 | 2007-11-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174855936 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr, Suite 220, Santa Cruz, CA 95065-1719 | 2010-02-04 |
| 1184883225 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr, Suite 140, Santa Cruz, CA 95065-1719 | 2008-06-04 |
| 1205020567 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr, Suite 310, Santa Cruz, CA 95065-1719 | 2007-08-30 |
| 1598961245 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr Ste 400, Santa Cruz, CA 95065-1724 | 2007-06-21 |
| 1134325889 | Dignity Health Medical Foundation | Clinic/Center | 1595 Soquel Dr, Suite 411, Santa Cruz, CA 95065-1719 | 2007-06-21 |
| 1043416795 | Dignity Health Medical Foundation | Clinic/Center | 1667 Dominican Way, Suite 134, Santa Cruz, CA 95065-1518 | 2007-06-21 |
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| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
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| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on DIGNITY HEALTH MEDICAL FOUNDATION.
| 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.