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SURGICAL ASSOCIATES OF MONTEREY BAY MEDICAL CORPORATION
NPI 1003985037
Surgery in Santa Cruz, CA

Active since November 06, 2006
1668 DOMINICAN WAY, SANTA CRUZ, CA 95065(831) 464-9962(831) 464-9933 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Surgical Associates Of Monterey Bay Medical Corporation NPPES

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

SURGICAL ASSOCIATES OF MONTEREY BAY MEDICAL CORPORATION (NPI 1003985037) is a healthcare organization registered as a surgery in Santa Cruz, California and active in the NPI registry since November 2006. The organization lists Jennifer Shoup, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1003985037
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSURGICAL ASSOCIATES OF MONTEREY BAY MEDICAL CORPORATION
Location Address1668 DOMINICAN WAYSanta Cruz, CA 95065-1522
Mailing Address1668 Dominican WaySanta Cruz, CA 95065-1522 · (831) 464-9962 · Fax (831) 464-9933
Phone(831) 464-9962
Fax(831) 464-9933
Organization SubpartNo
Authorized OfficialJennifer ShoupAdministrative Assistant · (831) 464-9962
Enumeration DateNovember 6, 2006
Last NPPES UpdateAugust 7, 2013
✔ NPI 1003985037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
1668 DOMINICAN WAY, Santa Cruz, CA 95065
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Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ24107ZCA
MedicaidGR0100250CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surgical Associates Of Monterey Bay Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Surgical Associates Of Monterey Bay Medical Corporation, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Louis Lee, MD
General Surgery
NPI 1093972192
1668 DOMINICAN WAY
Santa Cruz, CA 95065
(831) 464-9962
✔ PECOS✔ Accepts MedicareSame address
Paul Nguyen, D.O.
General Surgery
NPI 1184911968
1668 DOMINICAN WAY
Santa Cruz, CA 95065
(831) 464-9962
✔ PECOS✔ Accepts MedicareSame address
Jessica Santillano, M.D.
General Surgery
NPI 1033359211
1668 DOMINICAN WAY
Santa Cruz, CA 95065
(831) 464-9962
✔ PECOS✔ Accepts MedicareSame address
Brian Waddle, M.D.
General Surgery
NPI 1215001359
1668 DOMINICAN WAY
Santa Cruz, CA 95065
(831) 464-9962
✔ PECOS✔ Accepts MedicareSame address
Isaac Chankai, MD
General Surgery
NPI 1922259720
2900 CHANTICLEER AVE
Santa Cruz, CA 95065
(831) 462-7100
✔ PECOS✔ Accepts Medicare0.3 mi
Ruby Lo, M.D.
Vascular Surgery
NPI 1750519237
2255 S BASCOM AVE STE 200
Campbell, CA 95008
(408) 376-3626
✔ PECOS✔ Accepts Medicare20 mi
Gloria Jimenez, D.O.
General Surgery
NPI 1396908869
555 CAPITOL MALL SUITE 260
Sacramento, CA 95814
(916) 441-0400
✔ PECOS✔ Accepts Medicare113 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Surgical Associates Of Monterey Bay Medical Corporation's NPI number?

The NPI number for Surgical Associates Of Monterey Bay Medical Corporation is 1003985037. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Surgical Associates Of Monterey Bay Medical Corporation located?

Surgical Associates Of Monterey Bay Medical Corporation is located at 1668 Dominican Way, Santa Cruz, CA 95065. The listed phone number is (831) 464-9962.

What is Surgical Associates Of Monterey Bay Medical Corporation's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Surgical Associates Of Monterey Bay Medical Corporation enrolled in Medicare?

Yes. Surgical Associates Of Monterey Bay Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Surgical Associates Of Monterey Bay Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Surgical Associates Of Monterey Bay Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are General Surgery (6) and Vascular Surgery (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Surgical Associates Of Monterey Bay Medical Corporation was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.