Jon Nordgaard
Podiatrist
2900 Chanticleer Ave
Santa Cruz
, California 95065-1816
Jon Nordgaard
Podiatrist
2900 Chanticleer Ave
Santa Cruz
, California 95065-1816
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Jon Nordgaard
- 2025 Soquel Ave
- Santa Cruz, CA
- Zip : 95062-1323
- Phone :
Second Address
- Jon Nordgaard
- 2900 Chanticleer Ave
- Santa Cruz, CA
- Zip : 95065-1816
- Phone : (831) 477-2325
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E3367 | CA |
| Y | 222Z00000X | Podiatrist | E3367 | CA |
National Provider Identifier
| NPI | 1063482131 |
|---|---|
| Provider Name | Jon Nordgaard |
| First Address | Santa Cruz, CA 95062-1323 |
| Second Address | Santa Cruz, CA 95065-1816 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2006 |
| Last Update Date | 22/08/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U05253 | (02) |
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.