Organization Active NPI

St Moritz Medical Center Inc

  • Family Medicine Physician
  • Nevada City, CA
National Provider Identifier
1336126499
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A4866 Issued in CA
Legal business name
ST MORITZ MEDICAL CENTER INC
Practice address
202 Providence Mine Rd Ste 105
Nevada City, CA 95959-2945
Phone
(530) 264-7475
Fax
(916) 318-6950
NPI assigned
Dec 29, 2005
Organization subpart
Yes
Parent organization
ST. MORITZ MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Linda Kay Foshagen, DO
Title
President
Phone
(530) 264-7475

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 20A4866 CA Primary

Addresses

Primary practice location

202 Providence Mine Rd Ste 105
Nevada City, CA 95959-2945

Mailing address

202 Providence Mine Rd Ste 105
Nevada City, CA 95959-2945
Phone (530) 264-7475

National Provider Directory

National Provider Directory
Part of
St Moritz Office

Locations

113 Presley Way
Ste 4
Grass Valley, CA 95945
Phone (530) 264-7475

360 Sierra College Dr
Ste 220
Grass Valley, CA 95945
Phone (530) 210-5376

202 Providence Mine Rd
Ste 105
Nevada City, CA 95959
Phone (530) 264-7475

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1336126499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 PROVIDENCE MINE RD STE 105",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592945",
            "telephone_number": "530-264-7475",
            "fax_number": "916-318-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PROVIDENCE MINE RD STE 105",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592945",
            "telephone_number": "530-264-7475",
            "fax_number": "916-318-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MORITZ MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MORITZ MEDICAL CENTER, INC.",
        "enumeration_date": "2005-12-29",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "FOSHAGEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-264-7475",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.