Jeannine M. Rodems, MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G81126 Issued in CA

Legal business name

JEANNINE M. RODEMS, MD INC

Practice address

9000 Soquel Ave Ste 100
Santa Cruz, CA 95062-2097

Phone

(831) 708-1400

Fax

(831) 708-1390

NPI assigned

Aug 24, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeannine Marie Rodems, MDNPI 1063587376

Title

Ceo

Phone

(831) 708-1400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Santa Cruz Direct Primary Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeannine Marie Rodems, MD

  • Family Medicine Physician
  • Santa Cruz, CA
  • NPI 1063587376
  NPD Authorized official
• Adam Yarme, M.D.

  • Family Medicine Physician
  • Boulder Creek, CA
  • NPI 1376646463
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1003397381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SOQUEL AVE STE 100",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622097",
            "telephone_number": "831-708-1400",
            "fax_number": "831-708-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SOQUEL AVE STE 100",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622097",
            "telephone_number": "831-708-1400",
            "fax_number": "831-708-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNINE M. RODEMS, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "RODEMS",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-708-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G81126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063587376",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376646463",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Cruz Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Jauregui-Bueno
• Jay a Johnson MD Inc
• Jay Pennock Medical Director PC
• JD Group
• JD Group
• Jennifer Jeffcoat, CST, PPN-P, PPN-E
• Johanna Jefferies, LCSW #108766
• Leilani Jefferies, L.C.S.W.
• Laura Jefferson
• Brian Michael Jenkins, PA-C

• Family Medicine Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.