MEDICARE: DR. DEPINDER SINGH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	14504	NV
2	208M00000X	Hospitalist Physician	C153752	CA
3	207R00000X	Internal Medicine Physician	14504	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12425028	OTHER		CAQH

General Provider Information

NPI Number	:	1306173505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEPINDER SINGH M.D.

Provider Business Mailing Address
First Line	:	725 FRONT ST STE 206
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95060-4538
Country	:	US
Telephone Number	:	831-484-4191
Fax Number	:	831-208-2136

Provider Business Practice Location Address
First Line	:	725 FRONT ST STE 206
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95060-4538
Country	:	US
Telephone Number	:	831-484-4191
Fax Number	:	831-208-2136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2009
Last Update Date	:	07/20/2025

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