Active NPI
Cruzmedmo
- Urgent Care Clinic/Center
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Hamilton Lewis, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2197443 | Cruzmedmo | Certificate of waiver | Oct 24, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Emergency Medicine Physician
- Santa Cruz, CA
- NPI 1861432023
-
- Family Nurse Practitioner
- Marina, CA
- NPI 1770340952
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.