Individual provider Active NPI

Vanessa Hartstein, M.D.

  • Pediatrics Physician
  • Santa Cruz, CA
National Provider Identifier
1730576851
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A162350 Issued in CA
Practice address
2025 Soquel Ave
Santa Cruz, CA 95062-1323
Phone
(831) 458-5555
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 042.0014081 VT
Pediatrics Physician 208000000X A162350 CA Primary

Addresses

Primary practice location

2025 Soquel Ave
Santa Cruz, CA 95062-1323

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (831) 458-5555

Other practice location 1

246 Granger Rd Ste 1
Barre, VT 05641-5352
Phone (802) 371-5950

Other practice location 2

1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (317) 703-5847

Other practice location 3

CVMC Pediatric Primary Care-Berlin
246 Granger Road Suite 1
Berlin, VT 05641-5352
Phone (802) 371-5950

Other names 1

  • Vanessa Garlick Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200902002986 CA Practitioner - Pediatric Medicine 9335428960 Reassigns benefits to 1 organization
I20221028001034 NH Practitioner - Pediatric Medicine 9335428960 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162350CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The New London Hospital Association, Inc. Pediatrics CurrentSince Sep 12, 2022 Accepting new patients
Permanente Medical Group Inc Pediatrics CurrentSince Dec 16, 2024 Accepting new patients
Permanente Medical Group Inc Pediatrics Current Accepting new patients
The New London Hospital Association, Inc. Current Accepting new patients
The New London Hospital Association, Inc. CurrentSince Sep 12, 2022 Accepting new patients
Permanente Medical Group, Inc CurrentSince Dec 16, 2024 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

5820 Owens Dr
Bldg E
Pleasanton, CA 94588
Phone (925) 737-3785

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

1650 Los Gamos Dr
San Rafael, CA 94903
Phone (415) 444-2940

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

273 County Rd
New London, NH 03257
Phone (603) 526-5215

11 John Stark Hwy
Newport, NH 03773
Phone (603) 526-5203

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1730576851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "831-458-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 SOQUEL AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621323",
            "telephone_number": "831-458-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Granger Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Barre",
            "state": "VT",
            "postal_code": "056415352",
            "country_code": "US",
            "telephone_number": "802-371-5950",
            "fax_number": "802-371-5951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "317-703-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CVMC Pediatric Primary Care-Berlin",
            "address_2": "246 Granger Road Suite 1",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "VT",
            "postal_code": "056415352",
            "country_code": "US",
            "telephone_number": "802-371-5950",
            "fax_number": "802-371-5951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTSTEIN",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VT",
            "license": "042.0014081",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A162350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "GARLICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.