Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER ACOSTAMADIEDO, MD
ActiveDR. JENNIFER ACOSTAMADIEDO, MD is a Sports Medicine (IM) healthcare provider located in SANTA CRUZ, California. NPI 1417479288 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · SANTA CRUZ, CA
Registration Details
- NPI Number
- 1417479288
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2017 (8.9027938287284 yrs)
- Last Updated
- Oct 9, 2024
- Licenses
-
A170693 (CA)125071547 (IL)A170693 (CA)
Practice Information
- Address
-
1665 DOMINICAN WAY STE 222SANTA CRUZ, CA, 950651515Browse CA providers · Browse ZIP 95065
- Phone
- 8443875337
- Fax
- 8662643890
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Pulmonary Disease
Other Sports Medicine (IM) Providers in SANTA CRUZ, CA
| Name | Credential | NPI |
|---|---|---|
| SIRISH NAKKA | MD | 1619406725 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.