person
James Ariss Reggio, NP
Psychiatric/Mental Health Nurse Practitioner in Santa Cruz, California
NPI 1932120557

James Ariss Reggio is a Psychiatric/Mental Health Nurse Practitioner based in Santa Cruz, CA and is specialized in Psychiatric/Mental Health. James Ariss Reggio practices in Santa Cruz, CA and has the professional credentials of NP. The NPI Number for James Ariss Reggio is 1932120557 and holds a License No. 15581 (California).

The current practice location address for James Ariss Reggio is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4170. You can also correspond with James Ariss Reggio through the mailing address at 1400 EMELINE AVE, SANTA CRUZ, CA - 95060-1976 (mailing address contact number: 831-454-4971).

Location: 1400 Emeline Ave, Santa Cruz, CA, 95060-1976
person
Provider Profile Details
NPI Number
1932120557
Provider Name
James Ariss Reggio
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Phone Number
831-454-4170
Fax Number
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC 70042F 01 CA MEDI-CAL PROVIDER# IN SANTA CRUZ COUNTY
FHC 70044F 01 CA MEDI-CAL PROVIDER# IN SANTA CRUZ COUNTY
ZZZ91891Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
ZZZ91892Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN
ZZZ92069Z 01 CA SANTA CRUZ COUNTY MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
15581 (California)
Definition
Definition to come...
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