RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC (NPI# 1992715601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992715601 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC |
| Other Organization Name | DOMINICAN MRI CENTER |
| Practice Address |
1545 Soquel Drive Santa Cruz CA 95065-1705 |
| Mailing Address |
1661 Soquel Drive Building G Santa Cruz CA 95065-1709 |
| Practice Telephone | 8314762569 |
| Practice Fax Number | 8314648977 |
| Mailing Telephone | 8314761542 |
| Mailing Fax Number | 8314648977 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-03-27 |
| Authorized Official Name | KENNETH E AVERILL JR. (PRESIDENT) |
| Authorized Official Telephone | 8314761542 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC |
| 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 | |
| CA | BLUE SHIELD | ZZZ74648Z | 01 |
| Other Name | Type Code |
|---|---|
| Dominican MRI Center | Other Name - Individual/Organization |
| 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 |
| 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 |
| 1962415208 | Radiology Medical Group of Santa Cruz County Inc | Radiology | 1661 Soquel Dr, Building G, Santa Cruz, CA 95065 | 2006-08-15 |
| 1780692673 | Radiology Medical Group of Santa Cruz County Inc | Radiology | 1555 Soquel Drive, Santa Cruz, CA 95065-1705 | 2006-08-04 |
| Street Address |
1545 SOQUEL DRIVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95065-1705 |
| 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 |
| 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 |
| 1457597387 | Hoang Anh Tran Vo | Radiology | 1661 Soquel Dr Ste G, Santa Cruz, CA 95065 | 2008-12-24 |
| 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.