Active NPI
Santa Cruz Can Am Medical Group,Inc
- Plastic and Reconstructive Surgery Physician
- Scotts Valley, CA
National Provider Identifier
1841228848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- G9937
- Legal business name
- SANTA CRUZ CAN AM MEDICAL GROUP,INC
- Practice address
- 223 Mount Hermon Rd # a
Scotts Valley, CA 95066-4086 - Phone
- (831) 462-1000
- Fax
- (831) 462-9519
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marie E Pletsch, M.D.
- Title
- President/Surgeon
- Phone
- (831) 462-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | G9937 | CA | Primary |
Addresses
Primary practice location
223 Mount Hermon Rd # a
Scotts Valley, CA 95066-4086
Mailing address
223 Mount Hermon Rd # a
Scotts Valley, CA 95066-4086
Phone (831) 462-1000
National Provider Directory
National Provider DirectoryLocations
24571 Silver Cloud Ct
Monterey, CA 93940
Phone (831) 648-8005
223 Mount Hermon Rd
Ste A
Scotts Valley, CA 95066
Phone (831) 426-7585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1841228848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 MOUNT HERMON RD # A",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950664086",
"telephone_number": "831-462-1000",
"fax_number": "831-462-9519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 MOUNT HERMON RD # A",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950664086",
"telephone_number": "831-462-1000",
"fax_number": "831-462-9519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA CRUZ CAN AM MEDICAL GROUP,INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "PLETSCH",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT/SURGEON",
"authorized_official_telephone_number": "831-462-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "G9937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.