JACOB MEDVIDOVICH AMNT, CMT
NPI 1184310930
Massage Therapist in Santa Cruz, CA

Active since April 14, 2023
550 WATER ST, SANTA CRUZ, CA 95060(717) 645-9949 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Medvidovich Amnt, Cmt NPPES

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

JACOB MEDVIDOVICH AMNT, CMT (NPI 1184310930) is an individual massage therapist in Santa Cruz, California, licensed in California (75498) and active in the NPI registry since April 2023. He maintains a secondary practice location in Scotts Valley.

NPPES Registry Identity

NPI1184310930
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJACOB MEDVIDOVICHCredential: AMNT, CMT
Location Address550 WATER STSanta Cruz, CA 95060-4124
Mailing Address18701 Vierra Canyon RdSalinas, CA 93907-1346 · (717) 645-9949
Sole ProprietorYes
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
NPI 1184310930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in CA · 75498
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
550 WATER ST, Santa Cruz, CA 95060

Secondary Practice Location 1

Location 15215 Scotts Valley DrScotts Valley, CA 95066-3522 · Phone (717) 645-9949

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.

Hearing Aid Equipment
550 WATER ST, BLDG. B1
SANTA CRUZ, CA 95060
Family Medicine
550 WATER ST, SUITE A
SANTA CRUZ, CA 95060
Family Medicine
550 WATER ST, K 4
SANTA CRUZ, CA 95060
Speech-Language Pathologist
550 WATER ST, SUITE F-1
SANTA CRUZ, CA 95060
Dentist (General Practice)
550 WATER ST, SUITE D NUMBER 1
SANTA CRUZ, CA 95060
Marriage & Family Therapist
550 WATER ST, BUILDING C, SUITE 3
SANTA CRUZ, CA 95060
Dentist (General Practice)
550 WATER ST, BLDG I-3
SANTA CRUZ, CA 95060
Dentist (General Practice)
550 WATER ST, SUITE D, NUMBER 1
SANTA CRUZ, CA 95060

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 Jacob Medvidovich's NPI number?

The NPI number for Jacob Medvidovich is 1184310930. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Jacob Medvidovich located?

Jacob Medvidovich practices at 550 Water St, Santa Cruz, CA 95060. The listed phone number is (717) 645-9949.

What is Jacob Medvidovich's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jacob Medvidovich was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.