National Provider Identifier Database

JILLENE COSTA, DPM – NPI #1033378468
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

JILLENE COSTA, DPM
2907 CHANTICLEER AVENUE
SANTA CRUZ, CA95065
Phone: 831-477-2325
Fax:
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for JILLENE COSTA

NPI Number 1033378468
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/02/2008
Last updated 12/29/2011 - About 14 years ago
Sole proprietor1 No
Identifiers
  • CA License #: E4785
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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