Individual provider Active NPI

Sharon Lipschutz Kluger, PA-C

  • Physician Assistant
  • Santa Cruz, CA
National Provider Identifier
1063581668
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA52323 Issued in CA
Practice address
1661 Soquel Dr Ste E
Santa Cruz, CA 95065-1709
Phone
(831) 476-2444
Fax
(831) 476-0705
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA52323 CA Primary

Addresses

Primary practice location

1661 Soquel Dr Ste E
Santa Cruz, CA 95065-1709

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

1661 Soquel Dr Ste B
Santa Cruz, CA 95065-1709
Phone (831) 476-2444

Other practice location 2

1661 Soquel Dr Ste C
Santa Cruz, CA 95065-1709
Phone (831) 476-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709003142 CA Practitioner - Physician Assistant 6709930332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15055 Los Gatos Blvd
Los Gatos, CA 95032-2056
Phone (408) 356-1000

1661 Soquel Dr
Santa Cruz, CA 95065-1709
Phone (831) 476-2444

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
52323CAMDMarriage & Family Therapist
PA52323CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology - Pacific, P.C. CurrentSince Sep 19, 2023 Accepting new patients
Forefront Dermatology - Pacific, P.C. Past Accepting new patients

Locations

1661 Soquel Dr
Ste B
Santa Cruz, CA 95065
Phone (831) 476-2444

1661 Soquel Dr
Ste C
Santa Cruz, CA 95065
Phone (831) 476-2444

1661 Soquel Dr
Ste E
Santa Cruz, CA 95065
Phone (831) 476-2444

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1063581668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 SOQUEL DR STE E",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651709",
            "telephone_number": "831-476-2444",
            "fax_number": "831-476-0705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1661 Soquel Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651709",
            "country_code": "US",
            "telephone_number": "831-476-2444",
            "fax_number": "831-476-0705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1661 Soquel Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651709",
            "country_code": "US",
            "telephone_number": "831-476-2444",
            "fax_number": "831-476-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLUGER",
        "first_name": "SHARON",
        "middle_name": "LIPSCHUTZ",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA52323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.