Jillene Costa
Podiatrist
2907 Chanticleer Avenue
Santa Cruz
, California 95065
Jillene Costa
Podiatrist
2907 Chanticleer Avenue
Santa Cruz
, California 95065
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Jillene Costa
- 2025 Soquel Ave
- Santa Cruz, CA
- Zip : 95062-1323
- Phone :
Second Address
- Jillene Costa
- 2907 Chanticleer Avenue
- Santa Cruz, CA
- Zip : 95065
- Phone : (831) 477-2325
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E4785 | CA |
| Y | 222Z00000X | Podiatrist | E4785 | CA |
National Provider Identifier
| NPI | 1033378468 |
|---|---|
| Provider Name | Jillene Costa |
| First Address | Santa Cruz, CA 95062-1323 |
| Second Address | Santa Cruz, CA 95065 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2008 |
| Last Update Date | 29/12/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.