Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

River Street Integrative Medicine, Inc

Organization General Practice Physician · NPI 1417293267

River Street Integrative Medicine, Inc provides General Practice Physician services in Santa Cruz, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 River St
Santa Cruz, CA 95060-2748 Not confirmed with CMS for 13 years — call before visiting
Phone: (831) 457-2000
Fax: (831) 457-2140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A79910 (CA)

Record details

NPI number1417293267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lester Brodie — Medical Doctor · (831) 457-2000
NPI enumeratedDecember 26, 2012
Last updated in NPPESJune 13, 2013
Mailing address700 River St, Santa Cruz, CA 95060-2748

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