Individual provider Active NPI

Raluca Ioanid, F.N.P.

  • Family Nurse Practitioner
  • Santa Cruz, CA
National Provider Identifier
1831479054
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21034 Issued in CA
Practice address
250 Locust St
Santa Cruz, CA 95060-3813
Phone
(831) 427-3500
NPI assigned
Aug 18, 2011
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21034 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) 427-3500

Other practice location 1

240 Shotwell St
San Francisco, CA 94110-1323
Phone (415) 889-3215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181022000753 CA Practitioner - Nurse Practitioner 4183937220 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
21034CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Cruz Community Health Centers CurrentSince Oct 28, 2023 Accepting new patients
Santa Cruz Community Health Centers CurrentSince Oct 28, 2023 Accepting new patients
Central Coast Oncology & Hematology Past Accepting new patients

Locations

250 Locust St
Santa Cruz, CA 95060
Phone (831) 427-3582

Interoperability endpoints

  • Direct secure messaging: rioanid225334@hisp.ehr.sutterhealth.org
  • Direct secure messaging: rioanid698577@direct.ochin.org

Organizations & group practices 3

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": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1831479054",
    "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": "831-427-3500",
            "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": "240 Shotwell St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941101323",
            "country_code": "US",
            "telephone_number": "415-889-3215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IOANID",
        "first_name": "RALUCA",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.