Organization Active NPI

John P. Owens, M.D., Inc

  • Pediatric Cardiology Physician
  • Santa Cruz, CA
National Provider Identifier
1447474648
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
G32753 Issued in CA
Legal business name
JOHN P. OWENS, M.D., INC
Practice address
541 Frederick St
Santa Cruz, CA 95062-2660
Phone
(831) 457-2361
Fax
(831) 457-2882
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Peck Owens, M.D.
Title
President
Phone
(831) 457-2361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X G32753 CA Primary

Addresses

Primary practice location

541 Frederick St
Santa Cruz, CA 95062-2660

Mailing address

1688 Willow St
Suite C
San Jose, CA 95125-5109
Phone (408) 448-2817

Other names 1

  • Pediatric Cardiology Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John P Owens MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

541 Frederick St
Santa Cruz, CA 95062
Phone (831) 426-5050

Practitioners & affiliated clinicians

Practitioners 1

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447474648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 WILLOW ST",
            "address_2": "SUITE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951255109",
            "telephone_number": "408-448-2817",
            "fax_number": "408-448-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 FREDERICK ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622660",
            "telephone_number": "831-457-2361",
            "fax_number": "831-457-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P. OWENS, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PECK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-457-2361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "G32753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Cardiology Associates",
            "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 Aug 22, 2020; 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.