| County Of Santa Cruz | |
|
1080 Emeline Ave Santa Cruz CA 95060-1966 | |
| (831) 454-4000 | |
| (831) 454-4663 |
| Full Name | County Of Santa Cruz |
|---|---|
| Speciality | Clinic/Center |
| Location | 1080 Emeline Ave, Santa Cruz, California |
| Authorized Official Name and Position | Monica Morales (HEALTH SERVICES AGENCY DIRECTOR) |
| Authorized Official Contact | 8314544000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Santa Cruz Po Box 1439 Santa Cruz CA 95061-1439 Ph: (831) 454-4170 | County Of Santa Cruz 1080 Emeline Ave Santa Cruz CA 95060-1966 Ph: (831) 454-4000 |
| NPI Number | 1659315430 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 7618872912 |
|---|---|
| Medicare Enrollment ID | O20031201000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659315430 | NPI | - | NPPES |
| FHC70044F | Medicaid | CA | |
| FHC70042F | Medicaid | CA |
| Provider Name | Christopher B Dunham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639193659 PECOS PAC ID: 5395633945 Enrollment ID: I20040305001157 |
| Provider Name | Timothy R Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720208424 PECOS PAC ID: 8224010467 Enrollment ID: I20041015000649 |
| Provider Name | Daniel R Model |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316960958 PECOS PAC ID: 1456307180 Enrollment ID: I20050325000443 |
| Provider Name | Jose L Quiroga |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417991373 PECOS PAC ID: 8527064369 Enrollment ID: I20061018000326 |
| Provider Name | William C Falzett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114925526 PECOS PAC ID: 1254439458 Enrollment ID: I20070612000667 |
| Provider Name | Mary-ann Molloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134332604 PECOS PAC ID: 9638266075 Enrollment ID: I20071031000634 |
| Provider Name | Sara L Bassler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255522785 PECOS PAC ID: 7315035219 Enrollment ID: I20071109000466 |
| Provider Name | William E Roesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417148073 PECOS PAC ID: 1052484797 Enrollment ID: I20080714000650 |
| Provider Name | Robert L Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346275575 PECOS PAC ID: 6901954874 Enrollment ID: I20090502000013 |
| Provider Name | Jan B Weber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780765255 PECOS PAC ID: 4587707880 Enrollment ID: I20100209000536 |
| Provider Name | Jorge A Urbina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528177250 PECOS PAC ID: 2668506908 Enrollment ID: I20100823000224 |
| Provider Name | Rosa Madrigal-guzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154528149 PECOS PAC ID: 0446429062 Enrollment ID: I20110816000104 |
| Provider Name | James Reggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932120557 PECOS PAC ID: 4082874797 Enrollment ID: I20120404000138 |
| Provider Name | Izzet Yazgan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982734109 PECOS PAC ID: 5597850081 Enrollment ID: I20130821000376 |
| Provider Name | Marie Alison Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295039287 PECOS PAC ID: 5193949212 Enrollment ID: I20140626000164 |
| Provider Name | Maribeth Riday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720241474 PECOS PAC ID: 0143549014 Enrollment ID: I20150428001442 |
| Provider Name | Nesibe Soysal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558513309 PECOS PAC ID: 3779731211 Enrollment ID: I20150708000053 |
| Provider Name | Mohammed Shreiba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982866067 PECOS PAC ID: 7416265749 Enrollment ID: I20151006000893 |
| Provider Name | Yang Xu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093006983 PECOS PAC ID: 4789982711 Enrollment ID: I20160407001405 |
| Provider Name | Michael C Arena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093976649 PECOS PAC ID: 9436310901 Enrollment ID: I20160527000379 |
| Provider Name | Nancy Jo Haberman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043678287 PECOS PAC ID: 2567757925 Enrollment ID: I20160824001014 |
| Provider Name | Joel Stiles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497910178 PECOS PAC ID: 0840586616 Enrollment ID: I20160902000205 |
| Provider Name | Bryan William Rich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518038736 PECOS PAC ID: 1153600192 Enrollment ID: I20161116000682 |
| Provider Name | David Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740321470 PECOS PAC ID: 5294016416 Enrollment ID: I20161230001548 |
| Provider Name | Latha T. Nair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164527560 PECOS PAC ID: 1759366024 Enrollment ID: I20170310001733 |
| Provider Name | Sreekumar Nair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104848191 PECOS PAC ID: 8921002734 Enrollment ID: I20170316001351 |
| Provider Name | Dimitri Bacos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760712814 PECOS PAC ID: 9638485444 Enrollment ID: I20170407000626 |
| Provider Name | Kelli Baldrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609092105 PECOS PAC ID: 5991833113 Enrollment ID: I20170407000752 |
| Provider Name | Jeffrey Goodyear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366831570 PECOS PAC ID: 5799055109 Enrollment ID: I20170718001908 |
| Provider Name | Brian J. Nakkerud-whiteside |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417205527 PECOS PAC ID: 2961773627 Enrollment ID: I20170731000829 |
| Provider Name | Catherine Louise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972627370 PECOS PAC ID: 5890066468 Enrollment ID: I20170801002069 |
| Provider Name | Kelsey L Kloberdanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235672502 PECOS PAC ID: 7618248451 Enrollment ID: I20170811002725 |
| Provider Name | Andrea M Turnbull |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861726242 PECOS PAC ID: 9032481767 Enrollment ID: I20170815004490 |
| Provider Name | Heather V Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407246812 PECOS PAC ID: 8628337458 Enrollment ID: I20180123003448 |
| Provider Name | Maria V Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902937881 PECOS PAC ID: 5890030670 Enrollment ID: I20181226000502 |
| Provider Name | Blythe Ballaao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669975777 PECOS PAC ID: 6406181031 Enrollment ID: I20190718000784 |
| Provider Name | Susan Fisher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164749032 PECOS PAC ID: 6709113368 Enrollment ID: I20190806002020 |
| Provider Name | Elise Michaela Rockey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427201458 PECOS PAC ID: 5395073506 Enrollment ID: I20190827000778 |
| Provider Name | Jeremy Olin Lansing |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124665286 PECOS PAC ID: 9537575824 Enrollment ID: I20210311001062 |
| Provider Name | Asad Mahmood Qalbani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659543874 PECOS PAC ID: 3870669385 Enrollment ID: I20210617001039 |
| Provider Name | Albert Q Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740503788 PECOS PAC ID: 2961643812 Enrollment ID: I20220627001399 |
| Provider Name | Andria Katheryn Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043728090 PECOS PAC ID: 6507230620 Enrollment ID: I20230313001243 |
| Provider Name | Suzanne O Koebler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356824619 PECOS PAC ID: 1052462249 Enrollment ID: I20230809003355 |
| Provider Name | Amanda Lynett Travers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013564806 PECOS PAC ID: 3375905581 Enrollment ID: I20230818001816 |
| Provider Name | Jennifer Laura Deagon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538560008 PECOS PAC ID: 4981067998 Enrollment ID: I20230823003956 |
| Provider Name | Shannon Fryer Holmes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821207457 PECOS PAC ID: 2163885120 Enrollment ID: I20230824001668 |
| Provider Name | Eileen Patricia Movshovitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477876183 PECOS PAC ID: 7214390590 Enrollment ID: I20230905001236 |
| Provider Name | Hassan S Dinakar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922016294 PECOS PAC ID: 0143282889 Enrollment ID: I20230913002161 |
| Provider Name | Danielle Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326242033 PECOS PAC ID: 3072967660 Enrollment ID: I20231002000426 |
| Provider Name | Keli Benko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982483434 PECOS PAC ID: 2668828310 Enrollment ID: I20231101000252 |
| Provider Name | Kaitlyn Nicole Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356714612 PECOS PAC ID: 3072960210 Enrollment ID: I20231109003131 |
| Provider Name | Johanna Jefferies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225589393 PECOS PAC ID: 2466801337 Enrollment ID: I20231218002898 |
| Provider Name | Namjas Kaur Enman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508112855 PECOS PAC ID: 7113321662 Enrollment ID: I20240403001828 |
Santa Cruz Direct Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9000 Soquel Ave Ste 100, Santa Cruz, CA 95062 Phone: 831-708-1400 Fax: 831-708-1390 | |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1667 Dominican Way, Suite 134, Santa Cruz, CA 95065 Phone: 831-475-8834 | |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Soquel Dr, Suite 411, Santa Cruz, CA 95065 Phone: 831-465-7778 Fax: 831-475-0351 | |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Soquel Dr, Suite 220, Santa Cruz, CA 95065 Phone: 831-476-4200 Fax: 831-476-5052 | |
Martha C. Payne Dmd Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Frederick St, Santa Cruz, CA 95062 Phone: 831-457-0343 | |
Shoreline Middle School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 17th Ave, Santa Cruz, CA 95062 Phone: 831-427-3500 Fax: 831-426-3286 | |
Dignity Health Medical Group - Dominican, A Service Of Dignity Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1595 Soquel Dr, Suite 140, Santa Cruz, CA 95065 Phone: 831-462-4444 Fax: 831-462-4488 |