Individual provider Active NPI

Jeannine Marie Rodems, MD

  • Family Medicine Physician
  • Santa Cruz, CA
National Provider Identifier
1063587376
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G81126 Issued in CA
Practice address
133 Mission St Ste 220
Santa Cruz, CA 95060-3747
Phone
(831) 708-1400
Fax
(831) 708-1390
NPI assigned
Nov 21, 2006
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G81126 CA Primary

Addresses

Primary practice location

133 Mission St Ste 220
Santa Cruz, CA 95060-3747

Mailing address

133 Mission St Ste 220
Santa Cruz, CA 95060-3747
Phone (831) 708-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2015 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81126CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeannine M. Rodems, MD Inc Family Medicine Current Accepting new patients

Locations

133 Mission St
Ste 220
Santa Cruz, CA 95060
Phone (831) 708-1400

9000 Soquel Ave
Ste 100
Santa Cruz, CA 95062
Phone (831) 708-1400

Interoperability endpoints

  • Direct secure messaging: jeannine.rodems@2383344041988.direct.elationemr.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1063587376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MISSION ST STE 220",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603747",
            "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": "133 MISSION ST STE 220",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603747",
            "telephone_number": "831-708-1400",
            "fax_number": "831-708-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEMS",
        "first_name": "JEANNINE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G81126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.