Santa Cruz Personal Physicians Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G51038 Issued in CA

Legal business name

SANTA CRUZ PERSONAL PHYSICIANS INC

Practice address

634 Frederick St
Santa Cruz, CA 95062

Phone

(831) 421-9535

Fax

(831) 421-9290

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mercedes Grace Laurencin, MDNPI 1750401055

Title

Ceo

Phone

(831) 421-9535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Mercedes Grace Laurencin, M.D. M.P.H.

  • Family Medicine Physician
  • Santa Cruz, CA
  • NPI 1750401055
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1205933496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 FREDERICK ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95062",
            "telephone_number": "831-421-9535",
            "fax_number": "831-421-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 FREDERICK ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95062",
            "telephone_number": "831-421-9535",
            "fax_number": "831-421-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CRUZ PERSONAL PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "LAURENCIN",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-421-9535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G51038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Family Medicine Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.

Verify at the official NPI Registry.