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ETHAN JOSE MD
NPI 1427673623
Family Medicine - Sports Medicine in Santa Cruz, CA

Active since June 12, 2020PECOS EnrolledAccepts Medicare Assignment
110 COOPER ST # 500, SANTA CRUZ, CA 95060(831) 425-4100 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, Jun 12, 2020 (2 updates tracked since 2020).

About Ethan Jose Md NPPES

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

ETHAN JOSE MD (NPI 1427673623) is an individual sports medicine provider in Santa Cruz, California, licensed in California (A194810) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2020).

NPPES Registry Identity

NPI1427673623
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameETHAN JOSECredential: MD
Location Address110 COOPER ST # 500Santa Cruz, CA 95060-4574
Mailing Address3324 Malibu DrSanta Cruz, CA 95062-2024 · (510) 386-0823
Phone(831) 425-4100
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2020
Enumeration DateJune 12, 2020
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1427673623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · A194810
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
110 COOPER ST # 500, Santa Cruz, CA 95060
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan Jose Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092240481
PECOS Enrollment IDI20241121003284
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.03 typical visit price
range $62.97 – $186.69
Typical copayment $24.00 (range $15.74 – $46.67)
Most-billed visit code 99203
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. JULIA CLAIRE BURKE D.O.
Obstetrics & Gynecology
110 COOPER ST # 500
SANTA CRUZ, CA 95060
Santa Cruz County (831) 425-4100

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 Ethan Jose's NPI number?

The NPI number for Ethan Jose is 1427673623. It was assigned to this individual provider in the NPPES registry on June 12, 2020.

Where is Ethan Jose located?

Ethan Jose practices at 110 Cooper St # 500, Santa Cruz, CA 95060. The listed phone number is (831) 425-4100.

What is Ethan Jose's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Ethan Jose enrolled in Medicare?

Yes. Ethan Jose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ethan Jose was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.