SUTTER SANTA CRUZ APTOS
NPI 1053574806
Non-Pharmacy Dispensing Site in Aptos, CA

Q: What is Santa Cruz Medical Foundation Palo Alto Medical Foundation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since July 02, 2008

7600 OLD DOMINION CT, 1ST, APTOS, CA 95003(831) 458-6200 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sutter Santa Cruz Aptos NPPES

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

SUTTER SANTA CRUZ APTOS (NPI 1053574806) is a healthcare organization registered as a non-pharmacy dispensing site in Aptos, California and active in the NPI registry since July 2008. The organization lists Kenny Heine, Director Operations, as its authorized official.

NPPES Registry Identity

NPI1053574806

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameSANTA CRUZ MEDICAL FOUNDATION PALO ALTO MEDICAL FOUNDATION

Location Address7600 OLD DOMINION CT, 1STAptos, CA 95003-3821

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705

Phone(831) 458-6200

Organization SubpartYesParent: Medvantx, Inc.

Authorized OfficialKenny HeineDirector Operations · (858) 625-2990

Enumeration DateJuly 2, 2008

Last NPPES UpdateOctober 22, 2012

✔ NPI 1053574806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in CA · A63459

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

7600 OLD DOMINION CT, Aptos, CA 95003

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Other Names 1

Doing Business AsSutter Santa Cruz Aptos

Other Providers at the Same Location NPPES 16

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

SUZY NASSRALLA MD

Internal Medicine