Organization Active NPI

Optimage Health Inc

  • Family Medicine Physician
  • Santa Cruz, CA
National Provider Identifier
1205274255
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G63571 Issued in CA
Legal business name
OPTIMAGE HEALTH INC
Practice address
930 Mission St
Suite 5
Santa Cruz, CA 95060-3559
Phone
(831) 421-0197
Fax
(888) 449-2472
NPI assigned
Jun 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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

Authorized official

Name
Dr. Deborah Dawn Motyka, M.D.
Title
Owner
Phone
(831) 421-0197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G63571 CA Primary

Addresses

Primary practice location

930 Mission St
Suite 5
Santa Cruz, CA 95060-3559

Mailing address

930 Mission St
Suite 5
Santa Cruz, CA 95060-3559
Phone (831) 421-0197

Other names 1

  • Optimage Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388102400000",
    "number": "1205274255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MISSION ST",
            "address_2": "SUITE 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",
            "address_2": "SUITE 5",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603559",
            "telephone_number": "831-421-0197",
            "fax_number": "888-449-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAGE HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-12-27",
        "status": "A",
        "authorized_official_last_name": "MOTYKA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-421-0197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G63571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimage",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 27, 2013; 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.