NPIMap

Organization Active NPI

Dignity Health Medical Foundation

Doing business as Dignity Health Medical Group - Dominican, a service of Dignity Health

  • Multi-Specialty Clinic/Center
  • Aptos, CA
National Provider Identifier
1548566136
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DIGNITY HEALTH MEDICAL FOUNDATION
Doing business as
Dignity Health Medical Group - Dominican, a service of Dignity Health
Practice address
9515 Soquel Dr
Suite 100
Aptos, CA 95003-4135
Phone
(831) 535-1560
Fax
(831) 535-1568
NPI assigned
Jan 31, 2011
Last updated
Nov 18, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
DIGNITY HEALTH MEDICAL FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Theresa M Hylen
Title
Chief Financial Officer
Phone
(916) 851-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X CA Primary

Addresses

Primary practice location

9515 Soquel Dr
Suite 100
Aptos, CA 95003-4135

Mailing address

3000 Q St
1St Floor
Sacramento, CA 95816-7058
Phone (916) 733-3411

Other names 1

  • Dignity Health Medical Group - Dominican, a service of Dignity Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Woodland Clinic Med GRP15 organizations share this tax ID, including this one
Part of
Woodland Clinic Med GRP

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1548566136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 Q ST",
            "address_2": "1ST FLOOR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167058",
            "telephone_number": "916-733-3411",
            "fax_number": "916-853-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 SOQUEL DR",
            "address_2": "SUITE 100",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034135",
            "telephone_number": "831-535-1560",
            "fax_number": "831-535-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH MEDICAL FOUNDATION",
        "enumeration_date": "2011-01-31",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "HYLEN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "916-851-2559"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dignity Health Medical Group - Dominican, a service of Dignity Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dignity Health Medical Group - Dominican, a service of Dignity Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aptos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.