Active NPI
Catherine Lomonosoff
- Nurse Practitioner
- Santa Cruz, CA
National Provider Identifier
1386772770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 352176
- Practice address
- 1156 High St.
University of California Santa Cruz Student Health
Santa Cruz, CA 95064 - Phone
- (831) 459-2869
- Fax
- (831) 459-3546
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 352176 | CA | Primary |
Addresses
Primary practice location
1156 High St.
University of California Santa Cruz Student Health
Santa Cruz, CA 95064
Mailing address
194 El Solyo Ave
Ben Lomond, CA 95005-9505
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 352176 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386772770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 EL SOLYO AVE",
"city": "BEN LOMOND",
"state": "CA",
"postal_code": "950059505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1156 HIGH ST.",
"address_2": "UNIVERSITY OF CALIFORNIA SANTA CRUZ STUDENT HEALTH",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95064",
"telephone_number": "831-459-2869",
"fax_number": "831-459-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMONOSOFF",
"first_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "352176",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.