Organization Active NPI

Eye Care Medical Group a Professional Corp

  • Medical Specialty Clinic/Center
  • Santa Cruz, CA
National Provider Identifier
1609879436
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
EYE CARE MEDICAL GROUP A PROFESSIONAL CORP
Practice address
1665 Dominican Way
Ste 122
Santa Cruz, CA 95065-1528
Phone
(831) 476-1298
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Authorized official

Name
Christen Allaman, MD
Title
President
Phone
(831) 476-1298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1665 Dominican Way
Ste 122
Santa Cruz, CA 95065-1528

Mailing address

1665 Dominican Way
Ste 122
Santa Cruz, CA 95065-1528
Phone (831) 476-1298

National Provider Directory

National Provider Directory

Locations

2400 Chanticleer Ave
Ste C1
Santa Cruz, CA 95062

1667 Dominican Way
Ste 130
Santa Cruz, CA 95065
Phone (408) 462-9225

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1609879436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY",
            "address_2": "STE 122",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651528",
            "telephone_number": "831-476-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY",
            "address_2": "STE 122",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651528",
            "telephone_number": "831-476-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE MEDICAL GROUP A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "ALLAMAN",
        "authorized_official_first_name": "CHRISTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-476-1298",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 24, 2016; 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.