DIGNITY HEALTH MEDICAL GROUP - DOMINICAN, A SERVICE OF DIGNITY HEALTH
NPI 1649446352
Clinic/Center - Multi-Specialty in Santa Cruz, CA

Q: What is Dignity Health Medical Foundation's NPI number?

The NPI number for Dignity Health Medical Foundation is 1649446352. It was assigned to this organization in the NPPES registry on May 2, 2008. The provider is doing business as Dignity Health Medical Group - Dominican, A Service Of Dignity Health.

Q: What is Dignity Health Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since May 02, 2008CLIA 05D1086135 · Microscopy

2018 MISSION ST, SANTA CRUZ, CA 95060(831) 465-7761 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dignity Health Medical Group - Dominican, A Service Of Dignity Health NPPES

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

DIGNITY HEALTH MEDICAL GROUP - DOMINICAN, A SERVICE OF DIGNITY HEALTH (NPI 1649446352) is a healthcare organization registered as a multi-specialty in Santa Cruz, California and active in the NPI registry since May 2008. The organization holds a CLIA Microscopy certificate valid through July 2, 2028 and lists Theresa M Hylen, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1649446352

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameDIGNITY HEALTH MEDICAL FOUNDATION

Location Address2018 MISSION STSanta Cruz, CA 95060-5218

Mailing Address3000 Q StSacramento, CA 95816-7058 · (916) 733-5701 · Fax (916) 859-1671

Phone(831) 465-7761

Organization SubpartYes

Authorized OfficialTheresa M HylenChief Financial Officer · (916) 851-2559

Enumeration DateMay 2, 2008

Last NPPES UpdateNovember 18, 2020

NPPES CertifiedNovember 18, 2020

✔ NPI 1649446352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

2018 MISSION ST, Santa Cruz, CA 95060

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Other Names 1

Doing Business AsDignity Health Medical Group - Dominican, A Service Of Dignity Health

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 for Provider-Performed Microscopy Procedures (PPMP) 05D1086135

Dignity Health Medical Foundation · Santa Cruz, CA

Active · expires Jul 2, 2028

CLIA Number05D1086135

Laboratory TypePhysician Office

Certificate Effective DateJuly 3, 2026

Certificate Expiration DateJuly 2, 2028

Laboratory DirectorJackson Nagle

Laboratory Phone(916) 379-2861

Laboratory LocationDignity Health Medical Foundation2018 Mission St, Santa Cruz, CA 95060

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MS. JILLIAN MARGARET CHELSON PA-C

Physician Assistant