Active NPI
Marion Z Santora, M.D.
- Pediatrics Physician
- Santa Cruz, CA
National Provider Identifier
1609979665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G28088
- Practice address
- 1555 Soquel Dr
Santa Cruz, CA 95065-1705 - Phone
- (831) 457-7038
- Fax
- (831) 457-7195
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G28088 | CA | Primary |
Addresses
Primary practice location
1555 Soquel Dr
Santa Cruz, CA 95065-1705
Mailing address
P.O. Box 56
Aptos, CA 95001
Phone (831) 457-7038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G280880 | Other | CA | MEDI-CAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G28088 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308700800000",
"number": "1609979665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 56",
"city": "APTOS",
"state": "CA",
"postal_code": "95001",
"telephone_number": "831-457-7038",
"fax_number": "831-457-7195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 SOQUEL DR",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651705",
"telephone_number": "831-457-7038",
"fax_number": "831-457-7195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTORA",
"first_name": "MARION",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2011-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G28088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL NUMBER",
"identifier": "00G280880",
"state": "CA"
}
],
"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 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.