Healthcare Provider Details

I. General information

NPI: 1659207595
Provider Name (Legal Business Name): TRISHA MARIE PALUGOD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 RIVER ST STE C
SANTA CRUZ CA
95060-1754
US

IV. Provider business mailing address

7879 GAZETTE AVE
WINNETKA CA
91306-2018
US

V. Phone/Fax

Practice location:
  • Phone: 831-457-1800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT310321
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: