SANTA CRUZ DIRECT PRIMARY CARE
NPI 1003397381
Family Medicine in Santa Cruz, CA

Active since August 24, 2018CLIA 05D2112252 · Microscopy
9000 SOQUEL AVE STE 100, SANTA CRUZ, CA 95062(831) 708-1400(831) 708-1390 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Santa Cruz Direct Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA CRUZ DIRECT PRIMARY CARE (NPI 1003397381) is a healthcare organization registered as a family medicine in Santa Cruz, California and active in the NPI registry since August 2018. The organization holds a CLIA Microscopy certificate valid through April 25, 2028 and lists Jeannine Marie Rodems, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003397381
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJEANNINE M. RODEMS, MD INC
Location Address9000 SOQUEL AVE STE 100Santa Cruz, CA 95062-2097
Mailing Address9000 Soquel Ave Ste 100Santa Cruz, CA 95062-2097 · (831) 708-1400 · Fax (831) 708-1390
Fax(831) 708-1390
Organization SubpartNo
Authorized OfficialJeannine Marie RodemsCeo · (831) 708-1400
Enumeration DateAugust 24, 2018
NPI 1003397381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G81126
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9000 SOQUEL AVE STE 100, Santa Cruz, CA 95062

Other Names 1

Doing Business AsSanta Cruz Direct Primary Care

Other Identifiers 2

Medicaid1376646463CA
Medicaid1063587376CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2112252

Santa Cruz Direct Primary Care · Santa Cruz, CA
Active · expires Apr 25, 2028
CLIA Number05D2112252
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorJeannine M. Rodems
Laboratory Phone(831) 708-1400
Laboratory LocationSanta Cruz Direct Primary Care9000 Soquel Ave Ste 100, Santa Cruz, CA 95062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
9000 SOQUEL AVE STE 100
SANTA CRUZ, CA 95062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeannine M. Rodems, MD Inc's NPI number?

The NPI number for Jeannine M. Rodems, MD Inc is 1003397381. It was assigned to this organization in the NPPES registry on August 24, 2018. The provider is doing business as Santa Cruz Direct Primary Care.

Where is Jeannine M. Rodems, MD Inc located?

Jeannine M. Rodems, MD Inc is located at 9000 Soquel Ave Ste 100, Santa Cruz, CA 95062. The listed phone number is (831) 708-1400.

What is Jeannine M. Rodems, MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jeannine M. Rodems, MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2112252) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jeannine M. Rodems, MD Inc was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.