OrganizationActive
Palo Alto Medical Foundation
NPI 1114182649 · Non-Pharmacy Dispensing Site · Santa Cruz, CA
Palo Alto Medical Foundation is a Non-Pharmacy Dispensing Site organization in Santa Cruz, CA (NPI 1114182649).
Provider details
- NPI number
- 1114182649
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- G84273 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2025 Soquel Ave
4th Floor
Santa Cruz, CA 95062-1323
Phone: (831) 458-5610
Street-level locationGet directions
Mailing address
5810 Nancy Ridge Dr
San Diego, CA 92121-2834
Other names (DBA / former)
- Doing business as
- Sutter Sant Cruz Main 4th Floor
Registry dates
- Enumerated
- 2008-07-24
- Last updated
- 2008-07-25
Frequently asked questions
- What is Palo Alto Medical Foundation's NPI number?
- Palo Alto Medical Foundation's National Provider Identifier (NPI) is 1114182649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Palo Alto Medical Foundation?
- Palo Alto Medical Foundation is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Palo Alto Medical Foundation located?
- Palo Alto Medical Foundation's practice location on file with NPPES is 2025 Soquel Ave, Santa Cruz, CA 95062-1323.
- What is Palo Alto Medical Foundation's phone number?
- The practice phone number listed in the NPPES registry for Palo Alto Medical Foundation is (831) 458-5610.
- Who is the authorized official for Palo Alto Medical Foundation?
- The authorized official listed on Palo Alto Medical Foundation's NPPES record is Kenny Heine, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Palo Alto Medical Foundation's NPI active?
- Yes — Palo Alto Medical Foundation's NPI (1114182649) is active in the NPPES registry as of the last update on 2008-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.