| Dignity Health Medical Group - Dominican, A Service Of Dignity Health | |
|
1820 41st Ave Suite D Capitola CA 95010-2516 | |
| (831) 476-3000 | |
| (831) 476-9009 |
| Full Name | Dignity Health Medical Group - Dominican, A Service Of Dignity Health |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1820 41st Ave, Capitola, California |
| Authorized Official Name and Position | Theresa M Hylen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9168512559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dignity Health Medical Group - Dominican, A Service Of Dignity Health 3000 Q St Sacramento CA 95816-7058 Ph: (916) 733-5701 | Dignity Health Medical Group - Dominican, A Service Of Dignity Health 1820 41st Ave Suite D Capitola CA 95010-2516 Ph: (831) 476-3000 |
| NPI Number | 1053517797 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053517797 | NPI | - | NPPES |
| ZZZ50287Z | Other | BSCA | |
| GR0091681 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Bayview Gastroenterology Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4145 Clares St, Ste A, Capitola, CA 95010 Phone: 831-662-9999 Fax: 831-662-9998 | |
Western Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Wellness Aesthetics Central Coast Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4450 Capitola Rd Ste 105, Capitola, CA 95010 Phone: 831-325-0202 | |
Whole Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 38th Ave, Capitola, CA 95010 Phone: 831-621-1848 Fax: 831-621-1804 |