Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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James Douglas Bergum, CCP

Individual provider Perfusionist · NPI 1073148235

James Douglas Bergum, CCP is a Perfusionist in Santa Cruz, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1555 Soquel Dr
Santa Cruz, CA 95065-1794
Phone: (855) 489-4580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X · Licence 049011

Record details

NPI number1073148235
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorYes
NPI enumeratedMarch 9, 2020
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020

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