RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC – NPI #1780692673
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC is a radiologist located in SANTA CRUZ, CA. NPPES has assigned the NPI number 1780692673 to RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC on August 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC is also known by the name DOMINICAN HOSPITAL. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 18 years ago on Mar 27, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC below.

NPI Profile for
RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC

NPI Number
1780692673
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC
Other Name: DOMINICAN HOSPITAL
Primary location
1555 SOQUEL DRIVE
SANTA CRUZ, CA 95065-1705
Phone: (831) 476-1542 Fax: (831) 464-8977
Mailing address
1661 SOQUEL DRIVE
BUILDING G
SANTA CRUZ, CA 95065-1709
Phone: (831) 476-1542 Fax: (831) 464-8977
Organization Subpart
No
Authorized Official
KENNETH AVERILL
PRESIDENT
Phone: (831) 476-1542
Updated
Identifiers

Identifiers for RADIOLOGY MEDICAL GROUP OF SANTA CRUZ COUNTY INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAZZZ73807Z
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.