River Street Integrative Medicine, Inc.
NPI 1417293267ActiveOrganization· General Practice· Santa Cruz, CA
General Practice in Santa Cruz, California, registered in NPPES in December 2012. The authorized official on file is Lester Jay Brodie, M.D., Medical Doctor.
Overview
| NPI | 1417293267 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 26, 2012 |
| Last updated in NPPES | Jun 13, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | A79910 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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