Active NPI
Cardiovascular Associates of Santa Cruz
- Cardiovascular Disease Physician
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G73261
- Legal business name
- CARDIOVASCULAR ASSOCIATES OF SANTA CRUZ
- Practice address
- 1595 Soquel Drive
Suite 220
Santa Cruz, CA 95065-1560 - Phone
- (831) 464-3801
- Fax
- (831) 464-2737
- NPI assigned
- May 16, 2013
- Last updated
- Aug 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jay A Johnson, M.D.
- Title
- Owner/Partner
- Phone
- (831) 334-2316
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G73261 | CA | Primary |
Addresses
Primary practice location
1595 Soquel Drive
Suite 220
Santa Cruz, CA 95065-1560
Mailing address
1595 Soquel Drive
Suite 220
Santa Cruz, CA 95065-1560
Phone (831) 464-3801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1595 Soquel Dr
Ste 220
Santa Cruz, CA 95065
Phone (831) 464-3801
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Cardiovascular Disease Physician
- Santa Cruz, CA
- NPI 1699810697
-
- Cardiovascular Disease Physician
- Sacramento, CA
- NPI 1184878142
-
- Specialist
- Santa Cruz, CA
- NPI 1518007889
-
- Interventional Cardiology Physician
- Santa Cruz, CA
- NPI 1669904256
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375660800000",
"number": "1063858058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 SOQUEL DRIVE",
"address_2": "SUITE 220",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651560",
"telephone_number": "831-464-3801",
"fax_number": "831-464-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1595 SOQUEL DRIVE",
"address_2": "SUITE 220",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651560",
"telephone_number": "831-464-3801",
"fax_number": "831-464-2737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR ASSOCIATES OF SANTA CRUZ",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-16",
"last_updated": "2013-08-05",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/PARTNER",
"authorized_official_telephone_number": "831-334-2316",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G73261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.