Organization Active NPI

Cruzmedmo

  • Urgent Care Clinic/Center
  • Santa Cruz, CA
National Provider Identifier
1316530132
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CRUZMEDMO
Practice address
626 Frederick St
Santa Cruz, CA 95062-2203
Phone
(831) 718-0582
NPI assigned
Feb 12, 2021
Last updated
Feb 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Andrew Hamilton Lewis, DONPI 1861432023
Title
Owner
Phone
(831) 239-4331

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Emergency Care Clinic/Center 261QE0002X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

626 Frederick St
Santa Cruz, CA 95062-2203

Mailing address

211 Ladera CT
Santa Cruz, CA 95060-5209
Phone (831) 239-4331

Other practice location 1

211 Ladera Ct
Santa Cruz, CA 95060-5209
Phone (831) 239-4331

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2197443Cruzmedmo626 Frederick St, Ste H, Santa Cruz, CA 95062Certificate of waiverOct 24, 2026

National Provider Directory

National Provider Directory

Locations

325 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 239-4331

626 Frederick St
Santa Cruz, CA 95062
Phone (831) 230-0588

100 Enterprise Way
Ste D3047
Scotts Valley, CA 95066
Phone (831) 239-4331

Practitioners & affiliated clinicians

Practitioners 2

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": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1316530132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LADERA CT",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950605209",
            "telephone_number": "831-239-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 FREDERICK ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622203",
            "telephone_number": "831-718-0582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Ladera Ct",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950605209",
            "country_code": "US",
            "telephone_number": "831-239-4331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRUZMEDMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "HAMILTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-239-4331",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.