Organization Active NPI

Symptom Medicine Inc

  • Medical Specialty Clinic/Center
  • Santa Cruz, CA
National Provider Identifier
1275804940
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A76678 Issued in CA
Legal business name
SYMPTOM MEDICINE INC
Practice address
2030 N Pacific Ave
Suite F
Santa Cruz, CA 95060-7602
Phone
(888) 796-6331
Fax
(888) 796-6330
NPI assigned
Jan 26, 2012
Last updated
Mar 21, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
CHANTE S BUNTIN MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Dr. Chante S Buntin, MDNPI 1659451573
Title
Ceo
Phone
(888) 796-6331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A76678 CA Primary
Pain Clinic/Center 261QP3300X A76678 CA

Addresses

Primary practice location

2030 N Pacific Ave
Suite F
Santa Cruz, CA 95060-7602

Mailing address

2030 North Pacific Ave
Suite F
Santa Cruz, CA 95060-7602
Phone (888) 796-6331

National Provider Directory

National Provider Directory
Part of
Chante S Buntin MD Inc

Locations

2030 N Pacific Ave
Ste F
Santa Cruz, CA 95060
Phone (831) 251-1338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1275804940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 NORTH PACIFIC AVE",
            "address_2": "SUITE F",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607602",
            "telephone_number": "888-796-6331",
            "fax_number": "888-796-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 N PACIFIC AVE",
            "address_2": "SUITE F",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607602",
            "telephone_number": "888-796-6331",
            "fax_number": "888-796-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMPTOM MEDICINE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHANTE S BUNTIN MD INC",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "BUNTIN",
        "authorized_official_first_name": "CHANTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-796-6331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A76678",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A76678",
            "primary": false
        }
    ],
    "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 Mar 21, 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.