DIGNITY HEALTH MEDICAL GROUP - DOMINICAN, A SERVICE OF DIGNITY HEALTH
NPI 1699971333
Clinic/Center - Multi-Specialty in Boulder Creek, CA
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 1699971333) is a healthcare organization registered as a multi-specialty in Boulder Creek, California and active in the NPI registry since June 2007. The organization lists Theresa M Hylen, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dignity Health Medical Group - Dominican, A Service Of Dignity Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,178Medicare enrollment records show 1,178 clinicians reassign Medicare billing to Dignity Health Medical Group - Dominican, A Service Of Dignity Health, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 62
Nearest to this location (20)
See all 1,178Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dignity Health Medical Foundation's NPI number?
The NPI number for Dignity Health Medical Foundation is 1699971333. It was assigned to this organization in the NPPES registry on June 21, 2007. The provider is doing business as Dignity Health Medical Group - Dominican, A Service Of Dignity Health.
Where is Dignity Health Medical Foundation located?
Dignity Health Medical Foundation is located at 13350 Big Basin Way, Boulder Creek, CA 95006. The listed phone number is (831) 338-2767.
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.
Is Dignity Health Medical Foundation enrolled in Medicare?
Yes. Dignity Health Medical Foundation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dignity Health Medical Foundation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,178 clinicians in 62 Medicare specialties reassign their Medicare billing to Dignity Health Medical Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (169), Hospitalist (135) and Nurse Practitioner (126). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Dignity Health Medical Foundation was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dignity Health Medical Group - Dominican, A Service Of Dignity Health · NPI 1699971333
Multi-Specialty organization in Boulder Creek, California. Organization record, active in the CMS NPPES registry since June 21, 2007.
## Identity
- **NPI:** 1699971333 (Entity type: Organization)
- **Enumerated:** June 21, 2007
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Dignity Health Medical Foundation
- **Organization subpart:** Yes (part of Dignity Health Medical Foundation)
- **Authorized official:** Theresa Hylen, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 13350 BIG BASIN WAY, Boulder Creek, CA 95006-9237
- **Phone:** (831) 338-2767 · **Fax:** (831) 338-2767
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,178 clinicians in 62 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (169), Hospitalist (135), Nurse Practitioner (126); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1699971333/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2020
- **Other identifiers:** Medicaid GR0091683 (CA); Other ZZZ50290Z
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Source: [NPI Profile](https://npiprofile.com/npi/1699971333) · Data from the CMS NPPES public registry.