COUNTY OF SANTA CRUZ (NPI# 1063551976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063551976 |
Entity Type | Organization |
Organization Name | COUNTY OF SANTA CRUZ |
Other Organization Name | HEALTH SERVICES AGENCY WATSONVILLE HEALTH CENTER LABORATORY |
Practice Address |
1430 Freedom Blvd Laboratory Watsonville CA 95076-2780 |
Practice Telephone | 8317638173 |
Practice Fax Number | 8317638237 |
Mailing Telephone | 8317638173 |
Mailing Fax Number | 8317638237 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2016-11-10 |
Authorized Official Name | MS. RACHEL K REES (DIRECTOR OF LAB) |
Authorized Official Telephone | 8314545444 |
Is Organization Subpart | Y |
Parent Organization Name | THE COUNTY OF SANTA CRUZ |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 04130F | CA | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE PTAN | ZZZ95051Z | 01 |
CA | LAB04130F | 05 | |
CMS CLIA | 05D0875212 | 01 | |
CA | MEDICARE PTAN | BQ985 | 01 |
CA | CA. FAMILY PLANNING | HAP70044F | 01 |
CA | MEDICARE PTAN | CA154566 | 01 |
Other Name | Type Code |
---|---|
Health Services Agency Watsonville Health Center Laboratory | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770709149 | County of Santa Cruz | Clinic/Center | 1430 Freedom Blvd., Watsonville, CA 95076 | 2007-04-17 |
1659810513 | County of Santa Cruz | Clinic/Center | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2017-02-13 |
1285033514 | County of Santa Cruz | Clinic/Center | 115a Coral St, Santa Cruz, CA 95060-2131 | 2014-08-22 |
1154515948 | County of Santa Cruz | Case Management | 1060 Emeline Ave, Bldg. #f, Santa Cruz, CA 95060-1966 | 2007-09-05 |
1457559924 | County of Santa Cruz | Clinic/Center | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2007-07-06 |
1578680310 | County of Santa Cruz | Clinic/Center | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2007-03-26 |
1548304660 | County of Santa Cruz | Clinic/Center | 1400 Emeline Ave, 2nd Floor, Santa Cruz, CA 95060-1976 | 2007-02-20 |
1710021837 | County of Santa Cruz | Clinic/Center | 1400 Emeline Ave, 1st Floor, Santa Cruz, CA 95060-1976 | 2007-02-20 |
1740329515 | County of Santa Cruz | Clinical Medical Laboratory | 1080 Emeline Ave, Laboratory, Santa Cruz, CA 95060 | 2007-02-06 |
1659315430 | County of Santa Cruz | Clinic/Center | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2006-06-15 |
Street Address |
1430 FREEDOM BLVD LABORATORY |
City | WATSONVILLE |
State | CA |
Zip Code | 95076-2780 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831191477 | Michele Caldwell Violich | General Practice | 1430 Freedom Blvd, Watsonville, CA 95076-2780 | 2005-08-12 |
1578056529 | Carmen Violich | Physician Assistant | 1430 Freedom Blvd, Watsonville, CA 95076-2780 | 2018-06-13 |
1649796947 | Taylor Mackenzie Moore | Case Manager/Care Coordinator | 1430 Freedom Blvd, Watsonville, CA 95076-2780 | 2017-08-17 |
1306360169 | Yolanda Evelyn James-sevilla | Case Manager/Care Coordinator | 1430 Freedom Blvd, Watsonville, CA 95076-2780 | 2017-08-02 |
1154841245 | Benjamin Ramsden-stein | Family Medicine | 1430 Freedom Blvd, Watsonville, CA 95076-2780 | 2017-06-21 |
1508205691 | Alejandra Perez Leliaert | Physician Assistant | 1430 Freedom Blvd, Watsonville, CA 95076-2780 | 2013-06-21 |
1063747624 | Julie A Laurent | Social Worker | 1430 Freedom Blvd, Watsonville, CA 95076-2780 | 2009-10-14 |
1518116714 | Michelle Leigh Carr-frahm | Psychologist | 1430 Freedom Blvd, Watsonville, CA 95076-2780 | 2008-09-11 |
1801091871 | Alan Thomas Lamb | Social Worker | 1430 Freedom Blvd, Watsonville, CA 95076-2780 | 2007-06-19 |
1336344381 | Florine Asayo Westerly | Counselor | 1430 Freedom Blvd, Watsonville, CA 95076-2780 | 2007-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841365129 | Associated Pathology Medical Group | Clinical Medical Laboratory | 75 Neilson St, Watsonville, CA 95076-2468 | 2006-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386746 | Medlab2020 Inc | Clinical Medical Laboratory | 1594 N Main St, Orange, CA 92867-3443 | 2020-11-05 |
1851992127 | Predicine, Inc. | Clinical Medical Laboratory | 3555 Arden Rd, Hayward, CA 94545-3922 | 2020-11-03 |
1205435989 | Bioanalysis Diagnostic Laboratories | Clinical Medical Laboratory | 18173 Pioneer Blvd Ste K, Artesia, CA 90701-3988 | 2020-10-22 |
1164021085 | Integrated Laboratories Advisory Group, Inc. | Clinical Medical Laboratory | 7 W Figueroa St Ste 300, Santa Barbara, CA 93101-3189 | 2020-10-21 |
1053910273 | Onsite Phlebotomy Solutions | Clinical Medical Laboratory | 1040 S Mount Vernon Ave # G-276, Colton, CA 92324-4228 | 2020-10-19 |
1730787649 | Central California Testing, Inc | Clinical Medical Laboratory | 7737 Meany Ave Ste B9, Bakersfield, CA 93308-5267 | 2020-10-13 |
1518565514 | Clarity Mobile Venture LLC | Clinical Medical Laboratory | 651 World Way, Los Angeles, CA 90045-5815 | 2020-10-12 |
1083212351 | Telomere Diagnostics, Inc. | Clinical Medical Laboratory | 2688 Middlefield Rd Ste A, Redwood City, CA 94063-3483 | 2020-10-09 |
1588261127 | Safesite LLC | Clinical Medical Laboratory | 26660 Agoura Rd, Calabasas, CA 91302-1954 | 2020-10-07 |
1366049447 | Sts Lab 1 LLC | Clinical Medical Laboratory | 2302 Trade Zone Blvd Rm 100, San Jose, CA 95131-1819 | 2020-10-02 |
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City | WATSONVILLE |
Zip Code | 95076 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.