Santa Cruz Pulmonary Medical Group

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

SANTA CRUZ PULMONARY MEDICAL GROUP

Practice address

700 Frederick St
Suite 203
Santa Cruz, CA 95062-2239

Phone

(831) 425-1906

Fax

(831) 425-1922

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Regina Audrey Anyang

Title

Business Manager

Phone

(831) 425-1906

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1073531513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FREDERICK ST",
            "address_2": "SUITE 203",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622239",
            "telephone_number": "831-425-1906",
            "fax_number": "831-425-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FREDERICK ST",
            "address_2": "SUITE 203",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622239",
            "telephone_number": "831-425-1906",
            "fax_number": "831-425-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CRUZ PULMONARY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "ANYANG",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "AUDREY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "831-425-1906",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santa Cruz Medical Therapy Unit
• Santa Cruz Midwives Inc
• Santa Cruz Natural Medicine
• Santa Cruz Nephrology Medical Group, Inc.
• Santa Cruz Personal Physicians Inc
• Santa Cruz Radiation Oncology Medical Group, Incorporated
• Santa Cruz Skilled Nursing Center
• Santa Cruz Skilled Nursing Center, Inc
• Santa Cruz Spine and Sport Chiropractic
• Santa Cruz Surgery Center

• Pulmonary Disease Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.