Active NPI
Maria Susan Mead, M.D.
- Family Medicine Physician
- Santa Cruz, CA
National Provider Identifier
1699812842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A068971
- Practice address
- 250 Locust St
Santa Cruz, CA 95060-3813 - Phone
- (831) 427-3500
- NPI assigned
- Jan 30, 2007
- Last updated
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A068971 | CA | Primary |
Addresses
Primary practice location
250 Locust St
Santa Cruz, CA 95060-3813
Mailing address
125 Water St Ste B
Santa Cruz, CA 95060-2792
Phone (831) 427-3582
Other practice location 1
200 7th Ave Ste 150
Santa Cruz, CA 95062-4669
Phone (831) 462-1060
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68971 | CA | MD | Pharmacist |
| A068971 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apollo Medical Group | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1699812842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WATER ST STE B",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602792",
"telephone_number": "831-427-3582",
"fax_number": "831-427-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 LOCUST ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950603813",
"telephone_number": "831-427-3500"
}
],
"practiceLocations": [
{
"address_1": "200 7th Ave Ste 150",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950624669",
"country_code": "US",
"telephone_number": "831-462-1060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEAD",
"first_name": "MARIA",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A068971",
"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 Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.