Healthcare Provider Details

I. General information

NPI: 1538114301
Provider Name (Legal Business Name): STEVEN RIGOR PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1595 SOQUEL DR STE 220
SANTA CRUZ CA
95065-1721
US

IV. Provider business mailing address

1595 SOQUEL DR STE 320
SANTA CRUZ CA
95065-1722
US

V. Phone/Fax

Practice location:
  • Phone: 831-464-3801
  • Fax:
Mailing address:
  • Phone: 831-464-3801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA 17173
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: