Healthcare Provider Details

I. General information

NPI: 1427181007
Provider Name (Legal Business Name): DIGNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 SOQUEL DR
SANTA CRUZ CA
95065-1705
US

IV. Provider business mailing address

1555 SOQUEL DR
SANTA CRUZ CA
95065-1705
US

V. Phone/Fax

Practice location:
  • Phone: 858-275-8112
  • Fax: 779-803-8118
Mailing address:
  • Phone: 858-275-8112
  • Fax: 779-803-8118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number070000030
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number070000030
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number070000030
License Number StateCA

VIII. Authorized Official

Name: DANIEL MORISSETTE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 858-275-8112