Physicians Medical Group of Santa Cruz, Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

PHYSICIANS MEDICAL GROUP OF SANTA CRUZ, INC

Practice address

100 Enterprise Way Ste C110
Scotts Valley, CA 95066-3242

Phone

(831) 465-7800

Fax

(831) 464-7044

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy Martin, COO

Title

Chief Operating Officer

Phone

(831) 465-7829

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beth Burroughs Abidi, MD

  • Pediatrics Physician
  • Scotts Valley, CA
  • NPI 1326563222
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1811027188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ENTERPRISE WAY STE C110",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663242",
            "telephone_number": "831-465-7800",
            "fax_number": "831-464-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ENTERPRISE WAY STE C110",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663242",
            "telephone_number": "831-465-7800",
            "fax_number": "831-464-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL GROUP OF SANTA CRUZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "831-465-7829",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Perez
• Andrew Pflueger, LMFT
• Tracy Pham, RPH
• Lauren Phillips
• Amelia Rene Phinn, RN, BN, CLEC
• Camille Piette
• Lily Pirir
• Arnold Grant Plemons, PH.D.
• Jesabel Poblano Tafolla
• Julio Cesar Porro, M.D.

• Health Maintenance Organization in Scotts Valley, CA
• Providers in Scotts Valley, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.