JANUS OF SANTA CRUZ (NPI# 1730213794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730213794 |
| Entity Type | Organization |
| Organization Name | JANUS OF SANTA CRUZ |
| Other Organization Name | COMMUNITY CLINIC NORTH |
| Practice Address |
1000a Emeline Ave Santa Cruz CA 95060 |
| Mailing Address |
200 7th Avenue Suite 150 Santa Cruz CA 95062-4668 |
| Practice Telephone | 8314250112 |
| Practice Fax Number | 8314251847 |
| Mailing Telephone | 8314621060 |
| Mailing Fax Number | 8314624970 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2017-09-27 |
| 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 |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
4405 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 44AB | 05 |
| Other Name | Type Code |
|---|---|
| Community Clinic North | 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 |
| 1578620183 | Janus of Santa Cruz | Substance Abuse Rehabilitation Facility | 200 7th Avenue, Suite 150, Santa Cruz, CA 95062-4668 | 2007-01-02 |
| 1467608745 | Janus of Santa Cruz | Community/Behavioral Health | 200 7th Avenue, Suite 150, Santa Cruz, CA 95062-4668 | 2008-08-18 |
| 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 |
1000A EMELINE AVE |
| City | SANTA CRUZ |
| State | CA |
| Zip Code | 95060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609496587 | Nicole Chavez | Counselor | 1000a Emeline Ave, Santa Cruz, CA 95060-1900 | 2020-04-21 |
| 1013542927 | Naomi Marquez-toulemonde | Registered Nurse | 1000a Emeline Ave, Santa Cruz, CA 95060-1900 | 2020-03-11 |
| 1518598655 | Michelle Guzman | Counselor | 1000a Emeline Ave, Santa Cruz, CA 95060-1900 | 2020-01-28 |
| 1073143574 | Yvette Valeria Aguirre-romo | Counselor | 1000a Emeline Ave, Santa Cruz, CA 95060-1900 | 2020-01-23 |
| 1255973657 | Zaira Zavala | Counselor | 1000a Emeline Ave, Santa Cruz, CA 95060-1900 | 2019-10-17 |
| 1225696818 | Megan Harrington | Licensed Vocational Nurse | 1000a Emeline Ave, Santa Cruz, CA 95060-1900 | 2019-05-30 |
| 1821559923 | Paul Tatum | Registered Nurse | 1000a Emeline Ave, Santa Cruz, CA 95060-1900 | 2019-03-29 |
| 1235637554 | Jasmine Unique White | Counselor | 1000a Emeline Ave, Santa Cruz, CA 95060-1900 | 2018-02-01 |
| 1760991145 | Anne Marie Regina Lorenzini | Counselor | 1000a Emeline Ave, Santa Cruz, CA 95060-1900 | 2017-09-28 |
| 1396278792 | Anya King-gunning | Licensed Vocational Nurse | 1000a Emeline Ave, Santa Cruz, CA 95060-1900 | 2017-04-04 |
| 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 | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
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| 1093323222 | City and County of San Francisco | Clinic/Center | 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 | 2020-07-14 |
| 1548899644 | Bella Team Ltd. | Clinic/Center | 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 | 2020-04-02 |
| 1386280899 | Western Pacific Med-corp | Clinic/Center | 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 | 2019-11-19 |
| 1518501527 | Harmonic Solutions LLC | Clinic/Center | 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 | 2019-11-01 |
| 1326698887 | Aegis Treatment Centers, LLC | Clinic/Center | 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 | 2019-09-17 |
| 1548819550 | Aegis Treatment Centers, LLC | Clinic/Center | 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 | 2019-09-11 |
| 1306326699 | Kristen Andree Rickard | Clinic/Center | 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 | 2018-08-16 |
| 1083141600 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1145 Market St Fl 10, San Francisco, CA 94103-1566 | 2017-05-13 |
| 1013448547 | Coachella Valley Treatment Center | Clinic/Center | 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510 | 2017-03-26 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CRUZ |
| Zip Code | 95060 |
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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.