Palo Alto Medical Foundation
Non-pharmacy Dispensing Site
2025 Soquel Ave, 4th Floor, Santa Cruz
California, 95062-1323
831-458-5610 Palo Alto Medical Foundation is a Non-pharmacy Dispensing Site in Santa Cruz, California. This organization is also known as sub part of Medvantx, Inc.. It is located at 2025 Soquel Ave, 4th Floor, Santa Cruz and it's customer support contact number is 831-458-5610. The authorized person of Palo Alto Medical Foundation is Kenny Heine who is Director Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Palo Alto Medical Foundation is G84273 for Non-pharmacy Dispensing Site in California.
Palo Alto Medical Foundation is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Palo Alto Medical Foundation type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Palo Alto Medical Foundation |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 2025 Soquel Ave, 4th Floor, Santa Cruz,
California, 95062-1323 |
| Phone: | 831-458-5610 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenny Heine |
| Position: | Director Of Operations |
| Contact Number: | 858-625-2990 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1114182649 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 24 Jul, 2008 |
| NPI Last Update On: | 25 Jul, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Palo Alto Medical Foundation are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | G84273 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5810 Nancy Ridge Dr, 100
San Diego, California |
| Zip: | 92121-2834 |
| Phone Number: | 858-625-2990 |
Patients can reach Palo Alto Medical Foundation at
2025 Soquel Ave, 4th Floor, Santa Cruz, California or can
call on customer care at 831-458-5610.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.