DOMINICAN MEDICAL FOUNDATION CHW
NPI 1275780603
Non-Pharmacy Dispensing Site in Santa Cruz, CA

Active since August 27, 2008
2018 MISSION ST, SANTA CRUZ, CA 95060(831) 706-2220 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dominican Medical Foundation Chw NPPES

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

DOMINICAN MEDICAL FOUNDATION CHW (NPI 1275780603) is a healthcare organization registered as a non-pharmacy dispensing site in Santa Cruz, California and active in the NPI registry since August 2008. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1275780603
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameDOMINICAN MEDICAL FOUNDATIONS MISSION ST.
Location Address2018 MISSION STSanta Cruz, CA 95060-5218
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateAugust 27, 2008
Last NPPES UpdateOctober 23, 2012
NPI 1275780603 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 · A88194
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.)

2018 MISSION ST, Santa Cruz, CA 95060

Other Names 1

Doing Business AsDominican Medical Foundation Chw

Other Providers at the Same Location NPPES 14

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

Physician Assistant
2018 MISSION ST
SANTA CRUZ, CA 95060
Orthopaedic Surgery
2018 MISSION ST
SANTA CRUZ, CA 95060
Family Medicine
2018 MISSION ST
SANTA CRUZ, CA 95060
Physician Assistant
2018 MISSION ST
SANTA CRUZ, CA 95060
Family Medicine
2018 MISSION ST
SANTA CRUZ, CA 95060
Family Medicine
2018 MISSION ST
SANTA CRUZ, CA 95060
Family Medicine
2018 MISSION ST
SANTA CRUZ, CA 95060
Family Medicine
2018 MISSION ST
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 Dominican Medical Foundations Mission St.'s NPI number?

The NPI number for Dominican Medical Foundations Mission St. is 1275780603. It was assigned to this organization in the NPPES registry on August 27, 2008. The provider is doing business as Dominican Medical Foundation Chw.

Where is Dominican Medical Foundations Mission St. located?

Dominican Medical Foundations Mission St. is located at 2018 Mission St, Santa Cruz, CA 95060. The listed phone number is (831) 706-2220.

What is Dominican Medical Foundations Mission St.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Dominican Medical Foundations Mission St. was last updated on October 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.