| Santa Cruz Women's Health Center | |
|
250 Locust St Santa Cruz CA 95060-3813 | |
| (831) 427-3500 | |
| (831) 426-3286 |
| Full Name | Santa Cruz Women's Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 250 Locust St, Santa Cruz, California |
| Authorized Official Name and Position | Ruth Jasso (BILLING MANAGER) |
| Authorized Official Contact | 8314273500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Cruz Women's Health Center Po Box 542 Santa Cruz CA 95061-0542 Ph: (831) 427-3500 | Santa Cruz Women's Health Center 250 Locust St Santa Cruz CA 95060-3813 Ph: (831) 427-3500 |
| NPI Number | 1902923329 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 02/15/2021 |
| Certification Date | 02/15/2021 |
| Medicare PECOS PAC ID | 0840259107 |
|---|---|
| Medicare Enrollment ID | O20041004000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902923329 | NPI | - | NPPES |
| FHC70078F | Medicaid | CA |
| Provider Name | Wendy Sickels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003980863 PECOS PAC ID: 1557320827 Enrollment ID: I20041004000860 |
| Provider Name | Elisa R Breton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831246776 PECOS PAC ID: 5193884278 Enrollment ID: I20081104000390 |
| Provider Name | Lorena Bischoff Russo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306959390 PECOS PAC ID: 0345237988 Enrollment ID: I20081203000333 |
| Provider Name | Casey A Kirkhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568662062 PECOS PAC ID: 9537205893 Enrollment ID: I20090930000489 |
| Provider Name | Thomas E Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184705857 PECOS PAC ID: 6608914296 Enrollment ID: I20091119000411 |
| Provider Name | Kristina C Muten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558499327 PECOS PAC ID: 9436290806 Enrollment ID: I20100107000149 |
| Provider Name | Glenn E Macwhorter |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598718629 PECOS PAC ID: 0749315760 Enrollment ID: I20100316000830 |
| Provider Name | Todd Goodenow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427495167 PECOS PAC ID: 1557661642 Enrollment ID: I20151120001800 |
| Provider Name | Rebecca B Cope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770708018 PECOS PAC ID: 2860650421 Enrollment ID: I20170217002150 |
| Provider Name | Raluca Ioanid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831479054 PECOS PAC ID: 4183937220 Enrollment ID: I20181022000753 |
| Provider Name | Heather L Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457601676 PECOS PAC ID: 1850624966 Enrollment ID: I20190605000253 |
| Provider Name | Rose Helene Lovell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750874418 PECOS PAC ID: 9032514260 Enrollment ID: I20220826002628 |
| Provider Name | Stephanie Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215591177 PECOS PAC ID: 8426469917 Enrollment ID: I20230103001629 |
| Provider Name | Emma Kathleen Kleck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811542863 PECOS PAC ID: 6901230473 Enrollment ID: I20231108002118 |
| Provider Name | Callia Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013300672 PECOS PAC ID: 5395151955 Enrollment ID: I20231228003856 |
| Provider Name | Emily Elizabeth Fittante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124490347 PECOS PAC ID: 3678918984 Enrollment ID: I20240227000852 |
| Provider Name | Kayla Erin Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164823100 PECOS PAC ID: 9931546124 Enrollment ID: I20240322004295 |
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