COUNTY OF SANTA CRUZ (NPI# 1659810513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659810513 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SANTA CRUZ |
| Other Organization Name | HEALTH SERVICES AGENCY-FQHC-MENTAL HEALTH |
| Practice Address |
1080 Emeline Ave Santa Cruz CA 95060-1966 |
| Practice Telephone | 8314544000 |
| Mailing Telephone | 8314544000 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | GIANG NGUYEN (DIRECTOR OF HEALTH SERVICES AGENCY) |
| Authorized Official Telephone | 8314544000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SANTA CRUZ COUNTY, CA MEDI-CAL GROUP ID# | FHC70044F | 01 |
| CA | LEGAL ENTITY NUMBER | 1659315430 | 01 |
| CA | SANTA CRUZ COUNTY, CA MEDI-CAL GROUP ID# | FHC70042F | 01 |
| CA | SANTA CRUZ COUNTY, CA MEDICARE GROUP PTAN# | ZZZ91892Z | 01 |
| CA | SANTA CRUZ COUNTY, CA MEDICARE GROUP PTAN# | ZZZ91891Z | 01 |
| CA | SANTA CRUZ COUNTY, CA MEDICARE GROUP PTAN# | ZZZ92069Z | 01 |
| Other Name | Type Code |
|---|---|
| Health Services Agency-FQHC-Mental Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770709149 | County of Santa Cruz | Clinic/Center | 1430 Freedom Blvd., Watsonville, CA 95076 | 2007-04-17 |
| 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 |
| 1063551976 | County of Santa Cruz | Clinical Medical Laboratory | 1430 Freedom Blvd, Laboratory, Watsonville, CA 95076-2780 | 2007-02-06 |
| 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 |
1080 EMELINE AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060-1966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188608 | Marion Joanna Jordan | Physician Assistant | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2005-07-21 |
| 1811526114 | Selena Hudson | Nurse Practitioner | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2020-04-07 |
| 1689219578 | Melinda Marie Martindale | Social Worker | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2019-11-14 |
| 1588225247 | Kirsten Aline Juel | Social Worker | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2019-06-24 |
| 1093248254 | Rashmi Mathew | Internal Medicine | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2017-04-05 |
| 1598156671 | Jose Luis Fernandez | Counselor | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2015-02-11 |
| 1447591078 | Lisa Hernandez | Preventive Medicine | 1080 Emeline Ave, 2nd Floor, Public Health, Santa Cruz, CA 95060-1966 | 2013-03-06 |
| 1578814901 | Jennifer Kelly | Counselor | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2012-09-25 |
| 1972851517 | Matthew James Ventimiglia | Psychologist | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2012-08-28 |
| 1144504317 | Lilie Mytrang Pham | Nurse Practitioner | 1080 Emeline Ave, Santa Cruz, CA 95060-1966 | 2011-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366940215 | Tiphanie Bowens | Counselor | 380 Encinal St., Suite 200, Santa Cruz, CA 95060 | 2018-01-25 |
| 1942714167 | Kyle Hardwick | Chiropractor | 203 River Street, Santa Cruz, CA 95060 | 2017-11-27 |
| 1972015741 | Nina Marie Francesconi | Acupuncturist | 110 Fern St Apt. C, Santa Cruz, CA 95060 | 2017-11-01 |
| 1679091870 | Laura Evelyn Rochelle | Counselor | 380 Encinal St., Suit 200, Santa Cruz, CA 95060 | 2017-09-07 |
| 1649797903 | Jessica Tarnoff | Counselor | 716 Ocean St., Santa Cruz, CA 95060 | 2017-08-28 |
| 1356862064 | Lakia Niema Queen | Counselor | 542 Ocean Street Suite K, Santa Cruz, CA 95060 | 2017-07-03 |
| 1023555992 | Allison Whitehead | Nurse Practitioner | 1080 Emeline Ave., County of Santa Cruz Health Services Agency, Santa Cruz, CA 95060 | 2017-01-30 |
| 1659827293 | Annabelle Drda | Marriage & Family Therapist | 303 Portero St, Santa Cruz, CA 95060 | 2016-09-01 |
| 1376999698 | Erin Liana Johnson | Counselor | 104 Walnut Avenue, Suite 208, Santa Cruz, CA 95060 | 2016-05-05 |
| 1659732097 | Daniel Ezekiel Contreras | Counselor | 1080 Emeline Building D, Santa Cruz, CA 95060 | 2016-03-13 |
| Find all providers in zip 95060 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902123631 | Mental Health Client Action Network | Clinic/Center | 1051 Cayuga St, Santa Cruz, CA 95062-2421 | 2010-04-20 |
| 1952749541 | Santa Cruz Community Health Centers | Clinic/Center | 21507 E Cliff Dr, Santa Cruz, CA 95062-4844 | 2013-06-05 |
| 1770794265 | Dignity Health | Clinic/Center | 610 Frederick St, 3rd Floor, Santa Cruz, CA 95062-2203 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1306447941 | Bedford Breast Surgeons | Clinic/Center | 436 North Bedford Drive, Suite 105, Beverly Hills, CA 90210-4323 | 2020-11-02 |
| 1538767082 | County of Los Angeles | Clinic/Center | 6902 Atlantic Ave, Bell, CA 90201-3647 | 2020-10-15 |
| 1225636855 | Optimum Wellness and Weight Loss | Clinic/Center | 910 S El Camino Real Ste 100, San Clemente, CA 92672-4279 | 2020-10-15 |
| 1932707700 | Body By Design Wellness and Massage Clinic, Inc. | Clinic/Center | 3625 E Thousand Oaks Blvd Ste 215216, Westlake Village, CA 91362-3626 | 2020-10-14 |
| 1639786189 | Rams Ppe | Clinic/Center | 15329 Bonanza Rd Ste D, Victorville, CA 92392-2457 | 2020-09-29 |
| 1720695729 | Vila Facial Plastic Surgery | Clinic/Center | 1000 S Eliseo Dr Ste 203, Greenbrae, CA 94904-2151 | 2020-09-24 |
| 1902410442 | Hope Elementary School District | Clinic/Center | 3970 La Colina Rd Ste 14, Santa Barbara, CA 93110-1596 | 2020-09-02 |
| 1558974097 | Jiseki Health Inc | Clinic/Center | 1150 S King Rd Ste 40, San Jose, CA 95122-2140 | 2020-08-25 |
| 1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
Please comment or provide details below to improve the information on COUNTY 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.