Active NPI
Dawn Motyka, MD
- Family Medicine Physician
- Santa Cruz, CA
National Provider Identifier
1114001674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G63571
- Practice address
- 930 Mission St Ste 5
Santa Cruz, CA 95060-3559 - Phone
- (831) 421-0197
- Fax
- (888) 449-2472
- NPI assigned
- Oct 24, 2006
- Last updated
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G63571 | CA | Primary |
Addresses
Primary practice location
930 Mission St Ste 5
Santa Cruz, CA 95060-3559
Mailing address
930 Mission St Ste 5
Santa Cruz, CA 95060-3559
Phone (831) 421-0197
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G63571 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1114001674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 MISSION ST STE 5",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950603559",
"telephone_number": "831-421-0197",
"fax_number": "888-449-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 MISSION ST STE 5",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950603559",
"telephone_number": "831-421-0197",
"fax_number": "888-449-2472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTYKA",
"first_name": "DAWN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G63571",
"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 Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.