Dignity Health Medical Foundation

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

2018 Mission St
Santa Cruz, CA 95060-5218

Phone

(831) 465-7761

NPI assigned

May 2, 2008

Last updated

Nov 18, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

DIGNITY HEALTH MEDICAL FOUNDATIONAs reported in NPPES

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

Addresses

Other names 1

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Woodland Clinic Med GRP

Locations

Practitioners 97

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.

• Marian Elliot Acquistapace, CNM/FNP

  • Advanced Practice Midwife
  • Santa Cruz, CA
  • NPI 1215488226
  NPD (past)
• David Anjelly, M.D.

  • Gastroenterology Physician
  • Santa Cruz, CA
  • NPI 1629338603
  NPD (past)
• Andrew Ward Antes, MD

  • Family Medicine Physician
  • Capitola, CA
  • NPI 1982354510
  NPD (past)
• Nicholas Astromoff, MD

  • Diagnostic Radiology Physician
  • Santa Cruz, CA
  • NPI 1023031234
  NPD (past)
• Nicole A Baisden, NP

  • Nurse Practitioner
  • Soquel, CA
  • NPI 1932629862
  NPD (past)
• Sneha Sri Bathina, CNM

  • Advanced Practice Midwife
  • Santa Cruz, CA
  • NPI 1770218018
  NPD (past)
• John D Bergren, MD

  • Family Medicine Physician
  • Scotts Valley, CA
  • NPI 1023110301
  NPD (past)
• Sartaj Singh Brar, MD

  • Family Medicine Physician
  • Santa Cruz, CA
  • NPI 1396362034
  NPD (past)
• Talia Mariam Brinton, PA-C

  • Physician Assistant
  • Aptos, CA
  • NPI 1013386754
  NPD (past)
• Margarita Cabaral, MD

  • Family Medicine Physician
  • Scotts Valley, CA
  • NPI 1356827158
  NPD (past)
• Hsuan-Chih Chen, MD

  • Obstetrics & Gynecology Physician
  • Santa Cruz, CA
  • NPI 1114286796
  NPD (past)
• Robert P. Chen, M.D.

  • Family Medicine Physician
  • Capitola, CA
  • NPI 1003929720
  NPD (past)

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1649446352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 Q ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167058",
            "telephone_number": "916-733-5701",
            "fax_number": "916-859-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 MISSION ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950605218",
            "telephone_number": "831-465-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH MEDICAL FOUNDATION",
        "enumeration_date": "2008-05-02",
        "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": null,
            "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"
        }
    ]
}

• Nancy E Diehl
• Dientes Community Dental Care.
• Dignity Health (Dominican Hospital)
• Dignity Health (Dominican Pediatric Clinic)
• Dignity Health Medical Foundation (Dignity Health Medical Group - Dominican, a service of Dignity Health)
• Cindy Dillard, NP
• Courtney Jane Dimpel
• Caitlin Nicole Dios, ATC
• Casey Diraimondo, BA
• Tina Hope Distad, CMT

• Multi-Specialty Clinic/Center in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Multi-Specialty Clinic/Center in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.