JAMES DOUGLAS BERGUM CCP
NPI 1073148235
Perfusionist in Santa Cruz, CA
- Individual
- Male
- Perfusionist
About JAMES BERGUM
This page provides the complete NPI Profile along with additional information for James Bergum, a provider established in Santa Cruz, California with a medical specialization in Perfusionist. The healthcare provider is registered in the NPI registry with number 1073148235 assigned on March 2020. The practitioner's primary taxonomy code is 242T00000X with license number 049011 (). The provider is registered as an individual and his NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1073148235 Verify this NPI
- Provider Name
- JAMES DOUGLAS BERGUM CCP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1555 SOQUEL DR SANTA CRUZ, CA 95065
- Location Phone
- (855) 489-4580
- Mailing Address
- 144 HOLM RD SPC 31 WATSONVILLE, CA 95076
- Mailing Phone
- (831) 277-0810
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-09-2020
- Last Update Date
- 03-09-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Perfusionist
- Taxonomy Code
- 242T00000X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- 049011
- Taxonomy Description
- A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SANTA CRUZ, CA 95065
SANTA CRUZ, CA 95065
SANTA CRUZ, CA 95065
SANTA CRUZ, CA 95065
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073148235, enumerated as an "individual" on March 09, 2020.
The provider is located at 1555 SOQUEL DR SANTA CRUZ, CA 95065 and the phone number is (855) 489-4580.
Perfusionist with taxonomy code 242T00000X.
