Organization Active NPI

Santa Cruz Can Am Medical Group,Inc

  • Plastic and Reconstructive Surgery Physician
  • Scotts Valley, CA
National Provider Identifier
1841228848
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
G9937 Issued in CA
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

Updated by the provider on Jun 21, 2018

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.