SUTTER SANT CRUZ MAIN 4TH FLOOR
NPI 1114182649
Non-Pharmacy Dispensing Site in Santa Cruz, CA

Active since July 24, 2008CLIA 05D0606752 · Certificate of Compliance
2025 SOQUEL AVE, 4TH FLOOR, SANTA CRUZ, CA 95062(831) 458-5610 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sutter Sant Cruz Main 4th Floor NPPES

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

SUTTER SANT CRUZ MAIN 4TH FLOOR (NPI 1114182649) is a healthcare organization registered as a non-pharmacy dispensing site in Santa Cruz, California and active in the NPI registry since July 2008. The organization holds a CLIA Certificate of Compliance certificate valid through January 21, 2027 and lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1114182649
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePALO ALTO MEDICAL FOUNDATION
Location Address2025 SOQUEL AVE, 4TH FLOORSanta Cruz, CA 95062-1323
Mailing Address5810 Nancy Ridge Dr, 100San Diego, CA 92121-2834 · (858) 625-2990
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateJuly 24, 2008
Last NPPES UpdateJuly 25, 2008
NPI 1114182649 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 · G84273
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.)
2025 SOQUEL AVE, Santa Cruz, CA 95062

Other Names 1

Doing Business AsSutter Sant Cruz Main 4th Floor

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 of Compliance 05D0606752

Palo Alto Medical Foundation For Health Care, Research, And Education · Santa Cruz, CA
Active · expires Jan 21, 2027
CLIA Number05D0606752
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorJon L. Keller, MD
Laboratory Phone(831) 462-7180
Laboratory LocationPalo Alto Medical Foundation For Health Care, Research, And Education2025 Soquel Ave, Santa Cruz, CA 95062
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

Physical Therapist
2025 SOQUEL AVE
SANTA CRUZ, CA 95062
Marriage & Family Therapist
2025 SOQUEL AVE
SANTA CRUZ, CA 95062
Internal Medicine
2025 SOQUEL AVE
SANTA CRUZ, CA 95062
Pharmacy (Community/Retail Pharmacy)
2025 SOQUEL AVE
SANTA CRUZ, CA 95062
Internal Medicine (Rheumatology)
2025 SOQUEL AVE
SANTA CRUZ, CA 95062
Nurse Practitioner (Family)
2025 SOQUEL AVE
SANTA CRUZ, CA 95062
Internal Medicine
2025 SOQUEL AVE
SANTA CRUZ, CA 95062
Family Medicine
2025 SOQUEL AVE
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 Palo Alto Medical Foundation's NPI number?

The NPI number for Palo Alto Medical Foundation is 1114182649. It was assigned to this organization in the NPPES registry on July 24, 2008. The provider is doing business as Sutter Sant Cruz Main 4th Floor.

Where is Palo Alto Medical Foundation located?

Palo Alto Medical Foundation is located at 2025 Soquel Ave 4th Floor, Santa Cruz, CA 95062. The listed phone number is (831) 458-5610.

What is Palo Alto Medical Foundation's specialty?

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

Does Palo Alto Medical Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0606752) is associated with this NPI, valid through January 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Palo Alto Medical Foundation was last updated on July 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.