Dr Jessica Lauren Divine, MD | |
1080 Emeline Ave, Santa Cruz, CA 95060-1966 | |
(831) 454-4100 | |
(831) 454-4488 |
Full Name | Dr Jessica Lauren Divine |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 11 Years |
Location | 1080 Emeline Ave, Santa Cruz, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184065930 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0116026459 (Virginia) | Secondary |
207Q00000X | Family Medicine | 145258 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sutter Roseville Medical Center | Roseville, CA | Hospital |
Sutter Medical Center, Sacramento | Sacramento, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sutter Valley Medical Foundation | 9830094515 | 1919 |
Entity Name | County Of Santa Cruz |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659315430 PECOS PAC ID: 7618872912 Enrollment ID: O20031201000370 |
Entity Name | Sutter Valley Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
---|---|
Dr Jessica Lauren Divine, MD 1080 Emeline Ave, Santa Cruz, CA 95060-1966 Ph: (831) 454-4100 | Dr Jessica Lauren Divine, MD 1080 Emeline Ave, Santa Cruz, CA 95060-1966 Ph: (831) 454-4100 |
Carrie Coxwell Eisberg, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 250 Locust St, Santa Cruz, CA 95060 Phone: 831-427-3500 | |
Wendy Sickels, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 Locust St, Santa Cruz, CA 95060 Phone: 831-427-3500 | |
Dr. Stephen Michael Stein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 Potrero St, Ste 05a, Santa Cruz, CA 95060 Phone: 831-425-1385 Fax: 831-425-1385 | |
Dr. Steven Alberto Cortes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Water St, Suite A, Santa Cruz, CA 95060 Phone: 831-425-0420 Fax: 831-425-0185 | |
Mrs. Tasha L Turzo, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 550 Water St, K 4, Santa Cruz, CA 95060 Phone: 831-423-2298 Fax: 831-460-0204 | |
Dr. Diana Maria Mokaya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1080 Emeline Ave, Santa Cruz, CA 95060 Phone: 831-454-4491 | |
Dr. Leelia Franck, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 850 Front St, Santa Cruz, CA 95061 Phone: 508-340-6475 |