Active NPI
Neal Everett Swanson, MD
- Diagnostic Radiology Physician
- Santa Cruz, CA
National Provider Identifier
1295841518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A23472
- Practice address
- 1661 Soquel Drive
BLDG G
Santa Cruz, CA 95065-1709 - Phone
- (831) 476-7711
- Fax
- (831) 476-6189
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A23472 | CA | Primary |
Addresses
Primary practice location
1661 Soquel Drive
BLDG G
Santa Cruz, CA 95065-1709
Mailing address
1661 Soquel Drive
BLDG G
Santa Cruz, CA 95065-1709
Phone (831) 476-1542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A234720 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A23472 | CA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1295841518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 SOQUEL DRIVE",
"address_2": "BLDG G",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651709",
"telephone_number": "831-476-1542",
"fax_number": "831-464-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1661 SOQUEL DRIVE",
"address_2": "BLDG G",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651709",
"telephone_number": "831-476-7711",
"fax_number": "831-476-6189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "NEAL",
"middle_name": "EVERETT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A23472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A234720",
"state": "CA"
}
],
"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 Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.