| Dominican Pediatric Clinic | |
|
610 Frederick St 3rd Floor Santa Cruz CA 95062-2203 | |
| (831) 462-7501 | |
| (831) 462-7555 |
| Full Name | Dominican Pediatric Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 610 Frederick St, Santa Cruz, California |
| Authorized Official Name and Position | Michael Walsh (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8314627504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominican Pediatric Clinic 1555 Soquel Dr Attn Hospital President Santa Cruz CA 95065-1705 Ph: (831) 462-7501 | Dominican Pediatric Clinic 610 Frederick St 3rd Floor Santa Cruz CA 95062-2203 Ph: (831) 462-7501 |
| NPI Number | 1770794265 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770794265 | NPI | - | NPPES |
| HSP40242G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 070000030 (California) | Primary |
Santa Cruz Direct Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9000 Soquel Ave Ste 100, Santa Cruz, CA 95062 Phone: 831-708-1400 Fax: 831-708-1390 | |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1667 Dominican Way, Suite 134, Santa Cruz, CA 95065 Phone: 831-475-8834 | |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Soquel Dr, Suite 411, Santa Cruz, CA 95065 Phone: 831-465-7778 Fax: 831-475-0351 | |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Soquel Dr, Suite 220, Santa Cruz, CA 95065 Phone: 831-476-4200 Fax: 831-476-5052 | |
Martha C. Payne Dmd Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Frederick St, Santa Cruz, CA 95062 Phone: 831-457-0343 | |
Shoreline Middle School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 17th Ave, Santa Cruz, CA 95062 Phone: 831-427-3500 Fax: 831-426-3286 | |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Soquel Dr, Suite 140, Santa Cruz, CA 95065 Phone: 831-462-4444 Fax: 831-462-4488 |