NPIMap

Organization Active NPI

Santa Cruz Orthopaedic Institute a Medical Corporation

  • Specialist
  • Capitola, CA
National Provider Identifier
1114029980
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G85551 Issued in CA
Legal business name
SANTA CRUZ ORTHOPAEDIC INSTITUTE A MEDICAL CORPORATION
Practice address
4140 Jade Street
Suite 100
Capitola, CA 95010-3901
Phone
(831) 475-4024
Fax
(831) 475-4344
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Nicholas Ashan Abidi, MDNPI 1548273758
Title
President/Ceo
Phone
(831) 475-4024

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X G85551 CA Primary

Addresses

Primary practice location

4140 Jade Street
Suite 100
Capitola, CA 95010-3901

Mailing address

4140 Jade Street
Suite 100
Capitola, CA 95010-3901
Phone (831) 475-4024

Other names 1

  • Santa Cruz Orthopaedic Institute a Medical Corporation Doing business as

National Provider Directory

National Provider Directory

Locations

1505 Soquel Dr
Ste 12
Santa Cruz, CA 95065
Phone (831) 475-4024

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1114029980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 JADE STREET",
            "address_2": "SUITE 100",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103901",
            "telephone_number": "831-475-4024",
            "fax_number": "831-475-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 JADE STREET",
            "address_2": "SUITE 100",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103901",
            "telephone_number": "831-475-4024",
            "fax_number": "831-475-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CRUZ ORTHOPAEDIC INSTITUTE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "ABIDI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ASHAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "831-475-4024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G85551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Cruz Orthopaedic Institute a Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Capitola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.