Active NPI
Dignity Health
- General Acute Care Hospital
- Santa Cruz, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 070000030
- Legal business name
- DIGNITY HEALTH
- Practice address
- 1555 Soquel Dr
Santa Cruz, CA 95065-1705 - Phone
- (858) 275-8112
- Fax
- (779) 803-8118
- NPI assigned
- Mar 13, 2007
- Organization subpart
- Yes
- Parent organization
- DIGNITY HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Morissette
- Title
- Chief Financial Officer
- Phone
- (858) 275-8112
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 070000030 | CA | |
| General Acute Care Hospital | 282N00000X | 070000030 | CA | Primary |
| Skilled Nursing Facility | 314000000X | 070000030 | CA |
Addresses
Primary practice location
1555 Soquel Dr
Santa Cruz, CA 95065-1705
Mailing address
1555 Soquel Dr
Santa Cruz, CA 95065-1705
Phone (858) 275-8112
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR00242F | Medicaid | CA | |
| 721561119950650002 | Other | CA | WPS TRICARE |
| 72156111995065A003 | Other | CA | WPS TRICARE |
| HSC00242F | Medicaid | CA | |
| 721561119950650000 | Other | CA | WPS TRICARE |
| LTC00242F | Medicaid | CA | |
| 721561119950650003 | Other | CA | WPS TRICARE |
| ZZR00242G | Medicaid | CA | |
| HSM00242F | Medicaid | CA | |
| HSM00242G | Medicaid | CA | |
| HSC00242G | Medicaid | CA | |
| 44BU | Other | SANTA CRUZ COUNTY - PES ID | |
| 721561119 | Other | CA | IRS |
| HSP40242F | Medicaid | CA | |
| HSP40242G | Medicaid | CA | |
| ZZZA4401Z | Other | CA | BLUE SHIELD |
Other names 1
- Dominican Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070917000783 | CA | Part A Provider - Hospital | 2062320559 | Practice locations: Santa Cruz, CA |
| O20071203000512 | CA | Part A Provider - Hospital | 2062320559 | Practice locations: Santa Cruz, CA |
| O20080524000048 | CA | Part B Supplier - Hospital Department(S) | 2062320559 |
Receives reassigned benefits from 39 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: San Francisco, CA |
Hospital certification: CCN 050242
- Legal name
- DIGNITY HEALTH
- Doing business as
- DOMINICAN HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 17, 2023
- Beds
- 222
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation
- Incorporated
- Oct 11, 1954 in CA
- Enrollment address
- 1555 Soquel Dr
Santa Cruz, CA 95065-1705 - Hospital subgroups
- General, Acute care, Rehabilitation unit, Specialty hospital
Hospital certification: CCN 05T242
- Legal name
- DIGNITY HEALTH
- Doing business as
- DOMINICAN HOSPITAL
- Organization structure
- Corporation
- Incorporated
- Oct 11, 1954 in CA
- Enrollment address
- 1555 Soquel Dr
Santa Cruz, CA 95065-1705 - Hospital subgroups
- Rehabilitation unit
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
O20080524000048
Care Compare: Hospital
Medicare Care Compare- Listed as
- Dominican Hospital
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Care Compare: Inpatient rehabilitation facility
Medicare Care Compare- Listed as
- Dominican Hospital
- Ownership
- Non-profit
- Certified
- Jun 1, 1993
National Provider Directory
National Provider Directory- Part of
- Catholic Healthcare West
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
4140 Jade St
Ste 102
Capitola, CA 95010
Phone (831) 464-7246
930 Sunset Dr
Ste C1
Hollister, CA 95023
Phone (831) 638-0200
105A Cooper Ct
Los Gatos, CA 95032
Phone (408) 884-2710
701 E El Camino Real
Mountain View, CA 94040
Phone (650) 404-8370
1669 Dominican Way
Santa Cruz, CA 95065
Phone (408) 462-1000
3143 Paul Sweet Rd
Santa Cruz, CA 95065
Phone (831) 462-4801
1595 Soquel Dr
Ste 110
Santa Cruz, CA 95065
Phone (831) 475-6500
1661 Soquel Dr
Santa Cruz, CA 95065
Phone (718) 683-0390
2907 Chanticleer Ave
Santa Cruz, CA 95065
Phone (831) 477-2325
1663 Dominican Way
Ste 110A
Santa Cruz, CA 95065
Phone (408) 559-0666
1595 Soquel Dr
Ste 230
Santa Cruz, CA 95065
Phone (831) 226-3225
1575 Soquel Dr
Ste B
Santa Cruz, CA 95065
Phone (831) 454-0599
550 Water St
Santa Cruz, CA 95060
Phone (415) 820-9612
245 Mount Hermon Rd
Ste L
Scotts Valley, CA 95066
Phone (831) 430-7203
2980 El Rancho Dr
Scotts Valley, CA 95060
Phone (408) 438-1430
73 Penny Ln
Watsonville, CA 95076
Phone (831) 479-9500
Ownership & related parties
All disclosed owners & managing parties 13
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Commonspirit Health | 5% Or Greater Indirect Ownership Interest | Feb 1, 2019 | 100% |
| Operational/Managerial Control | Feb 1, 2019 | 100% | |
| Dignity Health | 5% Or Greater Direct Ownership Interest | Nov 2, 2007 | 100% |
| Operational/Managerial Control | Nov 2, 2007 | 100% | |
| Terika Richardson Mbanu | Corporate Officer | Jan 5, 2024 | |
| Julie Sprengel | Corporate Officer | Dec 2, 2025 | |
| Corporate Director | Dec 2, 2025 | ||
| Lilicia Bailey | Corporate Officer | Dec 2, 2025 | |
| Corporate Director | Dec 2, 2025 | ||
| Michael P Browning | Corporate Officer | Dec 29, 2025 | |
| Corporate Director | Dec 29, 2025 | ||
| Steven W Scharmann | Corporate Officer | Nov 14, 2022 | |
| W-2 Managing Employee | Feb 1, 2019 | ||
| Operational/Managerial Control | Feb 1, 2019 | ||
| W-2 Managing Employee | Feb 1, 2019 | ||
| John E Petersdorf | Corporate Officer | Nov 14, 2022 | |
| W-2 Managing Employee | Feb 1, 2019 | ||
| Operational/Managerial Control | Feb 1, 2019 | 100% | |
| W-2 Managing Employee | Feb 1, 2019 | ||
| Marvin O'Quinn | Corporate Officer | Feb 1, 2019 | |
| Corporate Director | Jan 27, 2021 | ||
| Scott Carswell | Corporate Director | Jan 27, 2021 | |
| Daniel Morissette | Corporate Officer | Feb 1, 2019 | |
| Mitch Melfi | Corporate Officer | Jan 27, 2021 | |
| Corporate Director | Jan 27, 2021 | ||
| Elizabeth Shih | Corporate Officer | Feb 1, 2019 | |
| Corporate Director | Jan 27, 2021 |
All facility ownership & control disclosures 85
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Arizona Spine and Joint Hospital LLC | Hospital | 5% Or Greater Indirect Ownership Interest | Jul 1, 2015 |
| St. Rose Dominican Hospital-Rose de Lima Campus | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jun 30, 1988 |
| St. Rose Dominican Hospital - Siena Campus | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 18, 2000 |
| Mercy Hospital - Bakersfield | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2001 |
| Arizona Specialty Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (35%) | Feb 1, 2003 |
| Yavapai Regional Medical Center | Hospital | Other | Feb 1, 2019 |
| Bakersfield Memorial Hospital | Hospital | Other | Feb 1, 2019 |
| St Rose Dominican Hospitals - San Martin Campus | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 6, 2006 Feb 1, 2019 |
| Mercy Hospital of Folsom | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Mercy San Juan Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Mercy General Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Sep 28, 2007 Sep 28, 2007 |
| Phoenix Children'S Hospital | Hospital | 5% Or Greater Direct Ownership Interest (20%) | Mar 25, 2011 |
| Mercy Medical Center Mt Shasta | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Mercy Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 30, 1996 |
| St Bernardine Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | May 21, 2007 |
| St. Joseph'S Hospital and Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 5, 2007 |
| St Joseph'S Hospital and Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| St. John'S Hospital Camarillo | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 23, 2007 |
| St Johns Regional Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Sierra Nevada Memorial Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Feb 20, 1996 |
| Mercy Medical Center Redding | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Nov 23, 2007 Nov 23, 2007 |
| UCSF Health Community Hospitals | Hospital | Operational/Managerial Control | Feb 1, 2019 |
| Marian Regional Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 17, 2007 Dec 17, 2007 |
| St. Elizabeth Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 1, 1995 Feb 1, 2019 |
| St. Elizabeth Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Mar 19, 2008 Mar 19, 2008 |
| Mercy Gilbert Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jun 5, 2006 Feb 1, 2019 |
| Mark Twain Medical Center | Hospital | Other | Jun 1, 2000 |
| Mercy General Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 12, 1986 |
| Community Hospital of San Bernardino | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 13, 1998 |
| St Mary Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
May 30, 1996 May 30, 1996 |
| San Bernardino Community Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 13, 1998 |
| Mercy Medical Center Mt Shasta Swing | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 12, 1986 Feb 1, 2019 |
| St. Mary Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2001 |
| Marian Regional Medical Center, Arroyo Grande | Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 17, 2007 Dec 17, 2007 |
| Dignity Health Arizona General Hospital | Hospital | Other | Feb 1, 2019 |
| St Josephs Behavioral Health Center | Hospital | 5% Or Greater Direct Ownership Interest (80%) Operational/Managerial Control (80%) |
May 1, 2016 May 1, 2016 |
| St Josephs Medical Center of Stockton | Hospital | 5% Or Greater Indirect Ownership Interest (80%) | Jun 1, 2016 |
| Dignity Health East Valley Rehabilitation Hospital | Hospital | 5% Or Greater Direct Ownership Interest (40%) | Apr 29, 2015 |
| Dignity Health Arizona General Hospital | Hospital | Other | Feb 1, 2019 |
| Dignity Health St Rose Dominican North Las Vegas Campus | Hospital | 5% Or Greater Indirect Ownership Interest (51%) | May 5, 2016 |
| Mark Twain Medical Center | Hospital | Operational/Managerial Control Other |
Feb 1, 2019 Feb 1, 2019 |
| Woodland Memorial Hospital | Hospital | Other | Feb 1, 2019 |
| French Hospital Medical Center | Hospital | Other | Feb 1, 2019 |
| Glendale Memorial Hospital and Health Center | Hospital | Other | Feb 1, 2019 |
| Glendale Memorial Hospital and Health Center | Hospital | Other | Feb 1, 2019 |
| Glendale Memorial Hospital and Health Center | Hospital | Operational/Managerial Control (100%) | Feb 1, 2019 |
| Chandler Regional Medical Center | Hospital | Other | Feb 1, 2019 |
| Sequoia Hospital | Hospital | Other | Feb 1, 2019 |
| Northridge Hospital Medical Center | Hospital | Other | Feb 1, 2019 |
| Northridge Hospital Medical Center | Hospital | Other | Feb 1, 2019 |
| California Hospital Medical Center | Hospital | Operational/Managerial Control (50%) | Feb 1, 2019 |
| Methodist Hospital of Sacramento | Hospital | Other | Feb 1, 2019 |
| Woodland Memorial Hospital | Hospital | Other | Feb 1, 2019 |
| Dignity Health Rehabilitation Hospital | Hospital | 5% Or Greater Direct Ownership Interest (49%) | Apr 23, 2019 |
| Dignity Health East Valley Rehabilitation Hospital-Gilbert | Hospital | 5% Or Greater Direct Ownership Interest (40%) | Dec 6, 2022 |
| St. John¿S Hospital Camarillo DP/SNF | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Feb 19, 1993 |
| Marian Regional Medical Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Dec 31, 2001 |
| Community Hospital of San Bernardino | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Aug 13, 1998 |
| Community Convalescent Center of San Bernardino | Skilled nursing facility | Other | Feb 1, 2019 |
| Methodist Hospital of Sacramento - Bruceville Terrace | Skilled nursing facility | Other | Feb 1, 2019 |
| Mercy Home Health | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2012 |
| Mercy Home Care | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2001 |
| Dignity Health Home Health | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2001 |
| Mercy Memorial Home Health | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 24, 2008 |
| Mercy Home Care | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Jan 17, 2012 |
| St. Elizabeth Community Hospital HHA | Home health agency | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 1995 |
| St Josephs Medical Center Home Health | Home health agency | 5% Or Greater Indirect Ownership Interest (80%) | Jun 1, 2016 |
| Dignity Health at Home, LLC | Home health agency | 5% Or Greater Direct Ownership Interest (50%) | Oct 29, 2018 |
| Woodland Healthcare Home Health | Home health agency | Other | Feb 1, 2019 |
| Mercy Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 18, 2008 |
| Dignity Health Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Mar 17, 2008 |
| Mercy Hospice - Mt. Shasta | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2000 |
| Mercy Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Mar 1, 1995 |
| Family Care Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
May 30, 1996 Jun 12, 2007 |
| Family Medical Center - San Andreas | Rural health clinic | Other | Jun 1, 2000 |
| Mercy Medical Center Mt Shasta | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jan 31, 2010 Feb 1, 2019 |
| James Dalton Medical Office | Rural health clinic | Other | Jun 1, 2000 |
| Family Medical Center - Arnold | Rural health clinic | Other | Jun 1, 2000 |
| Family Medical Center-Copperopolis | Rural health clinic | Other | Jun 1, 2000 |
| Mercy Medical Center Mt Shasta | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 12, 1986 Feb 1, 2019 |
| Mercy Medical Center Mt. Shasta | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2001 Feb 1, 2019 |
| Dignity Health Solano Street Medical Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2001 Dec 31, 2001 |
| Dignity Health Lassen Medical Clinic - Cottonwood | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Dec 31, 2001 Dec 31, 2001 |
| Dignity Health Lassen Medical Clinic - Red Bluff | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2001 Dec 31, 2001 |
| Dignity Health Women'S Health Services | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Dec 31, 2001 Apr 23, 2017 |
Facilities with the same owner 52
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1235290818
Dignity Health
Practitioners & affiliated clinicians
Practitioners 406
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Capitola, CA
- NPI 1548273758
-
- Advanced Practice Midwife
- Santa Cruz, CA
- NPI 1215488226
-
- Endocrinology, Diabetes & Metabolism Physician
- Santa Cruz, CA
- NPI 1770562134
-
- Vascular Surgery Physician
- Los Altos, CA
- NPI 1780885574
-
- Hematology & Oncology Physician
- Santa Cruz, CA
- NPI 1053632356
-
- Advanced Practice Midwife
- Santa Cruz, CA
- NPI 1336335611
-
- Dermatology Physician
- Soquel, CA
- NPI 1023097383
-
- Primary Podiatric Medicine Podiatrist
- Watsonville, CA
- NPI 1568991073
-
- Internal Medicine Physician
- Santa Cruz, CA
- NPI 1013996370
-
- Physician Assistant
- Santa Cruz, CA
- NPI 1992775431
-
- Maternal & Fetal Medicine Physician
- San Jose, CA
- NPI 1619196466
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- San Francisco, CA
- NPI 1912904806
Affiliated clinicians 465
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Capitola, CA
- NPI 1548273758
Hospital
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Stanford, CA
- NPI 1487953865
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1427181007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 SOQUEL DR",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651705",
"telephone_number": "858-275-8112",
"fax_number": "779-803-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 SOQUEL DR",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651705",
"telephone_number": "858-275-8112",
"fax_number": "779-803-8118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGNITY HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIGNITY HEALTH",
"enumeration_date": "2007-03-13",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A",
"authorized_official_last_name": "MORISSETTE",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "858-275-8112"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "CA",
"license": "070000030",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "070000030",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": "070000030",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR00242F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "721561119950650002",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "72156111995065A003",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSC00242F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "721561119950650000",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LTC00242F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "721561119950650003",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZR00242G",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSM00242F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSM00242G",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSC00242G",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY - PES ID",
"identifier": "44BU",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "721561119",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP40242F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP40242G",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZA4401Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dominican Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.