JANUS OF SANTA CRUZ (NPI# 1467608745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467608745 |
Entity Type | Organization |
Organization Name | JANUS OF SANTA CRUZ |
Other Organization Name | OUTPATIENT SERVICES |
Practice Address |
200 7th Avenue Suite 150 Santa Cruz CA 95062-4668 |
Practice Telephone | 8314621060 |
Practice Fax Number | 8314624970 |
Mailing Telephone | 8314621060 |
Mailing Fax Number | 8314624970 |
Enumeration Date | 2008-08-18 |
Last Update Date | 2017-09-25 |
Authorized Official Name | RUDOLPH VINCENT ESCALANTE (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 8314621060 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | 440003EN | CA | Agencies |
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
440003EN | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 4410 | 05 |
Other Name | Type Code |
---|---|
Outpatient Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649601550 | Janus of Santa Cruz | Community/Behavioral Health | 284 Pennsylvania Dr., Watsonville, CA 95076-3768 | 2013-12-02 |
1194971473 | Janus of Santa Cruz | Substance Abuse Rehabilitation Facility | 516 Chestnut St., Santa Cruz, CA 95060-3669 | 2008-08-18 |
1730213794 | Janus of Santa Cruz | Clinic/Center | 1000a Emeline Ave, Santa Cruz, CA 95060 | 2007-03-14 |
1578620183 | Janus of Santa Cruz | Substance Abuse Rehabilitation Facility | 200 7th Avenue, Suite 150, Santa Cruz, CA 95062-4668 | 2007-01-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | JANUS OF SANTA CRUZ | 200 7th Ave Ste 150, Santa Cruz, CA 95062-4669 |
Street Address |
200 7TH AVENUE SUITE 150 |
City | SANTA CRUZ |
State | CA |
Zip Code | 95062-4668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578620183 | Janus of Santa Cruz | Substance Abuse Rehabilitation Facility | 200 7th Avenue, Suite 150, Santa Cruz, CA 95062-4668 | 2007-01-02 |
1861901282 | Rudolph Vincent Escalante | Nursing Home Administrator | 200 7th Avenue, Suite 150, Santa Cruz, CA 95062 | 2017-09-28 |
1285143032 | Zenith Medical Group - Santa Cruz | Acupuncturist | 200 7th Avenue, Suite 115, Santa Cruz, CA 95062-4668 | 2017-09-25 |
1053841684 | Annette Webb | Counselor | 200 7th Avenue, Suite 150, Santa Cruz, CA 95062 | 2017-06-15 |
1497285050 | Matthew Van Nuys | Counselor | 200 7th Avenue, Suite 150, Santa Cruz, CA 95062 | 2017-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730706698 | Laura Lynn Rabb-jancola | Home Health | 275 Lake Ave #8, Santa Cruz, CA 95062 | 2020-06-26 |
1043792740 | New Life Community Services, Inc | Substance Abuse Rehabilitation Facility | 521 Capitola Rd Ext, Santa Cruz, CA 95062 | 2018-08-30 |
1780180380 | Philips Patton | Acupuncturist | 129 Dake Ave, Santa Cruz, CA 95062 | 2018-04-03 |
1477069896 | Wei Jiang | Acupuncturist | 1099 38th Ave #46, Santa Cruz, CA 95062 | 2017-12-21 |
1336679885 | Camm Nelsen | Counselor | 200 7th Avenue. Suite 150, Santa Cruz, CA 95062 | 2017-06-18 |
1639601784 | Catharine Lee Sheets | Registered Nurse | 21507 East Cliff Drive, Santa Cruz, CA 95062 | 2017-03-29 |
1972968857 | Brenda M. Williams | Counselor | 941 Eldorado Ave, Santa Cruz, CA 95062 | 2015-12-21 |
1124490347 | Emily Fittante | Social Worker | 343 Soquel Ave #195, Santa Cruz, CA 95062 | 2015-10-27 |
1578935839 | Jennifer Langon, Lmft | Community/Behavioral Health | 5905 Soquel Ave Suite 400, Aptos, CA 95062 | 2015-10-27 |
1255718581 | Joanne Gramo | Acupuncturist | 316a Oceanview Ave., Santa Cruz, CA 95062 | 2015-05-06 |
Find all providers in zip 95062 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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Find all providers with the same taxonomy |
City | SANTA CRUZ |
Zip Code | 95062 |
Please comment or provide details below to improve the information on JANUS OF SANTA CRUZ.
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.