| Santa Cruz Direct Primary Care | |
|
9000 Soquel Ave Ste 100 Santa Cruz CA 95062-2097 | |
| (831) 708-1400 | |
| (831) 708-1390 |
| Full Name | Santa Cruz Direct Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 9000 Soquel Ave Ste 100, Santa Cruz, California |
| Authorized Official Name and Position | Jeannine Marie Rodems (CEO) |
| Authorized Official Contact | 8317081400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Cruz Direct Primary Care 9000 Soquel Ave Ste 100 Santa Cruz CA 95062-2097 Ph: (831) 708-1400 | Santa Cruz Direct Primary Care 9000 Soquel Ave Ste 100 Santa Cruz CA 95062-2097 Ph: (831) 708-1400 |
| NPI Number | 1003397381 |
|---|---|
| Provider Enumeration Date | 08/24/2018 |
| Last Update Date | 08/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003397381 | NPI | - | NPPES |
| 1063587376 | Medicaid | CA | |
| 1376646463 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G81126 (California) | Primary |
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