Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CODY SUTPHIN MD
NPI 1649911777
Student in an Organized Health Care Education/Training Program in Santa Cruz, CA

Active since April 05, 2022PECOS Enrolled
2980 EL RANCHO DR, SANTA CRUZ, CA 95060(831) 438-1430 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cody Sutphin Md NPPES

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

CODY SUTPHIN MD (NPI 1649911777) is an individual student in an organized health care education/training program in Santa Cruz, California and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649911777
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCODY SUTPHINCredential: MD
Location Address2980 EL RANCHO DRSanta Cruz, CA 95060-1103
Mailing Address2980 El Rancho DrSanta Cruz, CA 95060-1103 · (831) 438-1430
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1649911777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2980 EL RANCHO DR, Santa Cruz, CA 95060

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cody Sutphin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
2980 EL RANCHO DR
SANTA CRUZ, CA 95060
Family Medicine
2980 EL RANCHO DR
SANTA CRUZ, CA 95060
Family Medicine
2980 EL RANCHO DR
SANTA CRUZ, CA 95060
Nurse Practitioner (Family)
2980 EL RANCHO DR
SANTA CRUZ, CA 95060
Nurse Practitioner (Family)
2980 EL RANCHO DR
SANTA CRUZ, CA 95060
Family Medicine
2980 EL RANCHO DR
SCOTTS VALLEY, 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 Cody Sutphin's NPI number?

The NPI number for Cody Sutphin is 1649911777. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Cody Sutphin located?

Cody Sutphin practices at 2980 El Rancho Dr, Santa Cruz, CA 95060. The listed phone number is (831) 438-1430.

What is Cody Sutphin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cody Sutphin enrolled in Medicare?

Yes. Cody Sutphin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cody Sutphin was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.