Organization · Type 2 NPI

Dignity Health Medical Foundation

Multi-Specialty Clinic/Center · Boulder Creek, CA

NPI number 1699971333 Active

Practice location

13350 Big Basin Way
Boulder Creek, CA 95006-9237

Call (831) 338-2767 Map

Fax (831) 338-2767

Mailing address

3160 Folsom Blvd
Sacramento, CA 95816-5219

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

5 other providers at this address

NPI record

NPI: 1699971333
Entity type: Organization (Type 2)
Issued: Jun 21, 2007
Last updated: Nov 18, 2020
Status: Active
Subpart: Yes of Dignity Health Medical Foundation

Other names

<unavail>
Dignity Health Medical Group - Dominican, A Service of Dignity Health · doing business as
Dignity Health Medical Group - Dominican, A Service of Dignity Health · doing business as

Authorized official

Theresa M Hylen
Chief Financial Officer
(916) 851-2559

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1699971333

Dignity Health Medical Foundation's National Provider Identifier is 1699971333, issued on Jun 21, 2007. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Boulder Creek, CA. The record was last updated on Nov 18, 2020.