Jonathan Delacruz Madara, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A101297 Issued in CA

Practice address

1555 Soquel Dr
Suite 720
Santa Cruz, CA 95065-1705

Phone

(562) 852-9206

NPI assigned

Sep 13, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Saint Louis University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simi Valley Anesthesia Medical GroupGroup PAC ID 2062454804, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Simi Valley Anesthesia Medical Group

  • Anesthesiology Physician
  • Simi Valley, CA
  • NPI 1912936709
  Medicare reassignment Care Compare group NPD
• Conejo Los Robles Anesthesiology Medical Group, Inc.

  • Anesthesiology Physician
  • Thousand Oaks, CA
  • NPI 1821171729
  Medicare reassignment NPD
• Anesthesia Medical Group of Santa Cruz, Inc.

  • Anesthesiology Physician
  • Santa Cruz, CA
  • NPI 1871541144
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  Care Compare affiliation

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

{
    "created_epoch": "1221264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1467601500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SOQUEL DR",
            "address_2": "SUITE 720",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOQUEL DR",
            "address_2": "SUITE 720",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651705",
            "telephone_number": "562-852-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADARA",
        "first_name": "JONATHAN",
        "middle_name": "DELACRUZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-13",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A101297",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A101297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Anne Maclay, MD
• Ayella Michelle Macleod, LCSW
• Margaret Macmillan, MD
• Scott E Macnaughton, PA
• Virginia Sallie Macneil, LCSW
• Rosa Madrigal-Guzman, LCSW
• Giselle Brianna Madrigal-Hernandez
• Santiago Madrigal
• Elisabeth Maede, RN
• Jessica Magallanes-Evans, PSYD

• Anesthesiology Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.