Scott Imahara (NPI# 1740391176, PAC ID# 6507912870) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1740391176 |
| PAC ID by PECOS | 6507912870 |
| Professional Enrollment ID | I20090929000209 |
| Full Name | Scott Imahara |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Address |
2900 Chanticleer Ave Santa Cruz CA 95065-1816 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 4284538778 |
| Number of Group Practice Members | 2620 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050714 | SUTTER MATERNITY & SURGERY CENTER OF SANTA CRUZ |
| 050242 | DOMINICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 | SUTTER BAY MEDICAL FOUNDATION | |
| 2950 Research Park Dr, Soquel, CA 95073-2000 | 8314585548 | SUTTER BAY MEDICAL FOUNDATION |
| 550 S Green Valley Rd, Watsonville, CA 95076-3053 | 8314585865 | SUTTER BAY MEDICAL FOUNDATION |
| Organization Legal Name | SUTTER BAY MEDICAL FOUNDATION |
| Physicians | 2773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabriela Ramos-pamplona | Nurse Practitioner | Sutter Bay Medical Foundation | 2095 Diamond Blvd, Suite 150, Concord, CA 94520-5832 |
| Ja Young Kim | Nurse Practitioner | Sutter Bay Medical Foundation | 15400 Los Gatos Blvd, Los Gatos, CA 95032-2502 |
| Gannon Dudlar | Emergency Medicine | Sutter Bay Medical Foundation | 701 E El Camino Real, Mountain View, CA 94040-2833 |
| Teresa Safer | Obstetrics/gynecology | Sutter Bay Medical Foundation | 1580 Valencia St, Suite 802, San Francisco, CA 94110-4415 |
| Aly M Mohamed | Gastroenterology | Sutter Bay Medical Foundation | 1662 Dominican Way, Santa Cruz, CA 95065-1522 |
| Inxs M Chandler | Nurse Practitioner | Sutter Bay Medical Foundation | 580 N Rengstorff Ave, Unit 5, Mountain View, CA 94043-2894 |
| Elsa Petronella Van Berry | Nurse Practitioner | Sutter Bay Medical Foundation | 3100 Summit St, Fl 2, Oakland, CA 94609-3412 |
| Joshua D Menefee | Internal Medicine | Sutter Bay Medical Foundation | 7225 Rainbow Dr, San Jose, CA 95129-4552 |
| Nicole Sue Gong | Physical Therapy | Sutter Bay Medical Foundation | 1085 W El Camino Real, Sunnyvale, CA 94087-1030 |
| Melanie Manaku | Internal Medicine | Sutter Bay Medical Foundation | 350 Rhode Island St, Suite 200, San Francisco, CA 94103-5188 |
| Street Address |
2900 CHANTICLEER AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip | 95065-1816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nazia R Choudhury | Anesthesiology | Sutter Bay Medical Foundation | 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 |
| Mark S Isaacson | Anesthesiology | Sutter Bay Medical Foundation | 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 |
| John R Saranto | General Surgery | 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 | |
| Sargon D Jacob | Anesthesiology | Sutter Bay Medical Foundation | 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 |
| Geoffrey Peter Bernstein | Gastroenterology | Sutter Bay Medical Foundation | 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 |
| Dana Ramsey | Certified Nurse Midwife (cnm) | Sutter Bay Medical Foundation | 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 |
| Josh P Novic | Neurology | Sutter Bay Medical Foundation | 2900 Chanticleer Ave, Santa Cruz, CA 95065-1816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark L Rigler | Anesthesiology | Anesthesia Medical Group of Santa Cruz, Inc. | 3003 Paul Sweet Rd, Santa Cruz Surgery Center, Santa Cruz, CA 95065-1503 |
| Robert Duncan Ley | Plastic and Reconstructive Surgery | 3003 Paul Sweet Rd, Santa Cruz, CA 95065-1503 | |
| Tyler R Dirda | Anesthesiology | Anesthesia Medical Group of Santa Cruz, Inc. | 3003 Paul Sweet Rd, Santa Cruz Surgery Center, Santa Cruz, CA 95065-1503 |
| Upasna Bhuria | Anesthesiology | Anesthesia Medical Group of Santa Cruz, Inc. | 3003 Paul Sweet Rd, Santa Cruz Surgery Center, Santa Cruz, CA 95065-1503 |
| John Charles Glina | Anesthesiology | Anesthesia Medical Group of Santa Cruz, Inc. | 3003 Paul Sweet Rd, Santa Cruz Surgery Center, Santa Cruz, CA 95065-1503 |
| Linda L Leum | Anesthesiology | Anesthesia Medical Group of Santa Cruz, Inc. | 3003 Paul Sweet Rd, Santa Cruz Surgery Center, Santa Cruz, CA 95065-1503 |
| Aaron Bennett Morse | Pulmonary Disease | Aaron B Morse Md Inc | 1665 Dominican Way, Suite 222, Santa Cruz, CA 95065-1515 |
| Tony Joseph Masri | Neurology | Aaron B Morse Md Inc | 1665 Dominican Way, Suite 222, Santa Cruz, CA 95065-1515 |
| Yohko Murakami | Ophthalmology | Spectrum Eye Physicians, A Medical Corporation | 1665 Dominican Way, Suite 224, Santa Cruz, CA 95065-1515 |
| Bhavim Desai | Family Medicine | Aaron B Morse Md Inc | 1665 Dominican Way, Suite 222, Santa Cruz, CA 95065-1515 |
| Find all physicians in zip 95065 | |||
| City | SANTA CRUZ |
| Zip Code | 95065 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | SANTA CRUZ + PLASTIC AND RECONSTRUCTIVE SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.