Scotts Valley Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SCOTTS VALLEY MEDICAL CLINIC

Practice address

2980 El Rancho Drive
Santa Cruz, CA 95060-1199

Phone

(831) 438-1430

Fax

(831) 438-2473

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Michael Joseph Coulson, MD

Title

Physician

Phone

(831) 438-1430

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1497878805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 EL RANCHO DRIVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601199",
            "telephone_number": "831-438-1430",
            "fax_number": "831-438-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 EL RANCHO DRIVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601199",
            "telephone_number": "831-438-1430",
            "fax_number": "831-438-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTS VALLEY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "COULSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "831-438-1430",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Hunter Scott
• Heather Scott
• Jordan Scott
• Rebekah Scott, AMFT #148258
• Susan Matthews Scott, M.F.T.
• David Anthony Scribner
• Elio Scudieri, MA, AMFT
• Seabright Speech Therapy Services
• Rene Michelle Sebold
• Clair Julia Secomb, MD

• Family Medicine Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.