RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC (NPI# 1962415208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962415208 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC |
| Practice Address |
1661 Soquel Dr Building G Santa Cruz CA 95065 |
| Mailing Address |
Po Box 18858 Reno NV 89511-0188 |
| Practice Telephone | 8314761542 |
| Practice Fax Number | 8314648977 |
| Mailing Telephone | 8314767711 |
| Mailing Fax Number | 8314620581 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2018-07-03 |
| Authorized Official Name | KENNETH E AVERILL JR. (PRESIDENT) |
| Authorized Official Telephone | 8314761542 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ73806Z | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619987674 | Radiology Medical Group of Santa Cruz County Inc | Radiology | 1685 B Commercial Way, Santa Cruz, CA 95065-1703 | 2006-08-09 |
| 1992715601 | Radiology Medical Group of Santa Cruz County Inc | Radiology | 1545 Soquel Drive, Santa Cruz, CA 95065-1705 | 2006-08-08 |
| 1922016815 | Radiology Medical Group of Santa Cruz County Inc | Radiology | 75 Nielsen Street, Watsonville, CA 95076 | 2006-08-04 |
| 1306854294 | Radiology Medical Group of Santa Cruz County Inc | Radiology | 108 B Green Valley Road, Freedom, CA 95019-3110 | 2006-08-04 |
| 1780692673 | Radiology Medical Group of Santa Cruz County Inc | Radiology | 1555 Soquel Drive, Santa Cruz, CA 95065-1705 | 2006-08-04 |
| Street Address |
1661 SOQUEL DR BUILDING G |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093714511 | Roy Elias Martinez | Radiology | 1661 Soquel Dr, Building G, Santa Cruz, CA 95065-1709 | 2005-07-18 |
| 1902292295 | Aron Jameson Mohan | Internal Medicine | 1661 Soquel Dr, Santa Cruz, CA 95065-1709 | 2015-04-13 |
| 1952796047 | Scott Drew | Internal Medicine | 1661 Soquel Dr, Santa Cruz, CA 95065 | 2015-04-06 |
| 1134523715 | Shelly Brunner | Nurse Practitioner | 1661 Soquel Dr, Building C, Santa Cruz, CA 95065-1709 | 2014-10-10 |
| 1740623883 | Guillermo Ramirez | Internal Medicine | 1661 Soquel Dr, Santa Cruz, CA 95065-1709 | 2013-04-08 |
| 1184925075 | Stefanie Kam Hatfield | Obstetrics & Gynecology | 1661 Soquel Dr, Suite A, Santa Cruz, CA 95065-1709 | 2010-11-08 |
| 1043448194 | Ka-wah Tung | Radiology | 1661 Soquel Dr, Santa Cruz, CA 95065-1709 | 2009-06-29 |
| 1548412026 | Grant Andrew De Lamotte | Psychiatry & Neurology | 1661 Soquel Dr, Suite D, Santa Cruz, CA 95065-1709 | 2008-10-16 |
| 1194935932 | Jennifer C. Lin | Radiology | 1661 Soquel Dr, Bldg G, Santa Cruz, CA 95065-1709 | 2007-05-23 |
| 1609083369 | Kevin Matthew Mchugh | Radiology | 1661 Soquel Dr, Santa Cruz, CA 95065-1709 | 2007-05-16 |
| Find all providers in the same location | ||||
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969838 | Modesto Radiological Medical Group, Inc | Radiology | 148 Beachview Ave, Santa Cruz, CA 95060-3008 | 2016-05-11 |
| 1215179775 | Louis Russo Zwerling | Radiology | 1020 Laurent St, Santa Cruz, CA 95060-2506 | 2009-03-30 |
| 1588778252 | Leping Pu | Radiology | 1661 Soquel Dr Ste G, Santa Cruz, CA 95065 | 2006-08-18 |
| 1619987674 | Radiology Medical Group of Santa Cruz County Inc | Radiology | 1685 B Commercial Way, Santa Cruz, CA 95065-1703 | 2006-08-09 |
| 1992715601 | Radiology Medical Group of Santa Cruz County Inc | Radiology | 1545 Soquel Drive, Santa Cruz, CA 95065-1705 | 2006-08-08 |
| 1093714511 | Roy Elias Martinez | Radiology | 1661 Soquel Dr, Building G, Santa Cruz, CA 95065-1709 | 2005-07-18 |
| 1104119544 | Nicholas Thomas Rudnick | Radiology | 1661 Soquel Dr Ste G, Santa Cruz, CA 95065-1709 | 2011-05-18 |
| 1215253349 | Dustin Newell | Radiology | 1661 Soquel Dr Ste G, Santa Cruz, CA 95065-1709 | 2010-04-14 |
| 1043448194 | Ka-wah Tung | Radiology | 1661 Soquel Dr, Santa Cruz, CA 95065-1709 | 2009-06-29 |
| 1356582662 | Monica Harish | Radiology | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2009-03-16 |
| Find all providers in SANTA CRUZ | ||||
| City | SANTA CRUZ |
| Zip Code | 95065 |
Please comment or provide details below to improve the information on RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC.
| 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.