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250 Locust St Santa Cruz CA 95060-3813 | |
| (831) 427-3500 | |
| (831) 426-3286 |
| Full Name | |
|---|---|
| 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 |
|---|---|
Po Box 542 Santa Cruz CA 95061-0542 Ph: (831) 427-3500 | 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 | Michael Adam Amster |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1114023058 PECOS PAC ID: 3072530682 Enrollment ID: I20051101001141 |
| Provider Name | Walter Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871677948 PECOS PAC ID: 3476573809 Enrollment ID: I20051130000827 |
| Provider Name | Andrew Hamilton Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861432023 PECOS PAC ID: 4880669258 Enrollment ID: I20070907000528 |
| Provider Name | Garry C Crummer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699878579 PECOS PAC ID: 3375631138 Enrollment ID: I20071113000434 |
| 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 | Curtis Matthew Froid |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295845741 PECOS PAC ID: 2466619093 Enrollment ID: I20120208001009 |
| Provider Name | Rebecca Maria Breton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659367548 PECOS PAC ID: 3971729302 Enrollment ID: I20140721002389 |
| Provider Name | David A Ansel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376547612 PECOS PAC ID: 9436465283 Enrollment ID: I20150825004116 |
| Provider Name | Raelene M Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235255811 PECOS PAC ID: 8820304892 Enrollment ID: I20150904002532 |
| Provider Name | Todd Goodenow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427495167 PECOS PAC ID: 1557661642 Enrollment ID: I20151120001800 |
| Provider Name | Emily Solick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639335755 PECOS PAC ID: 7416247945 Enrollment ID: I20160613000071 |
| Provider Name | Corrine Lee Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720481526 PECOS PAC ID: 5890081566 Enrollment ID: I20160906001638 |
| 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 | Allison M Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023555992 PECOS PAC ID: 0648553651 Enrollment ID: I20170222002718 |
| Provider Name | Mila Louise Shank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154544591 PECOS PAC ID: 7012276637 Enrollment ID: I20180104001865 |
| Provider Name | Lindsay Jo Ramaekers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134470479 PECOS PAC ID: 2365702131 Enrollment ID: I20180216001164 |
| Provider Name | Kathleen C Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003364084 PECOS PAC ID: 8123374089 Enrollment ID: I20180706001350 |
| 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 | Cassy Friedrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427469782 PECOS PAC ID: 3971834169 Enrollment ID: I20191021000969 |
| Provider Name | Rose Helene Lovell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750874418 PECOS PAC ID: 9032514260 Enrollment ID: I20220826002628 |
| Provider Name | Salla Inkeri Hennessy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699122077 PECOS PAC ID: 9931472081 Enrollment ID: I20221229000541 |
| Provider Name | Stephanie Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215591177 PECOS PAC ID: 8426469917 Enrollment ID: I20230103001629 |
| Provider Name | Angelica Salazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770824823 PECOS PAC ID: 2769706407 Enrollment ID: I20230208001482 |
| Provider Name | Ashley N Rubin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740743905 PECOS PAC ID: 4082015748 Enrollment ID: I20230222002310 |
| Provider Name | Mayra Inez Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558978643 PECOS PAC ID: 9335507953 Enrollment ID: I20230614000788 |
| 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 | Anthony E Rodriguez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1205139649 PECOS PAC ID: 7911341532 Enrollment ID: I20240221004338 |
| Provider Name | Christine Margaret Lacy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912331414 PECOS PAC ID: 1254776776 Enrollment ID: I20240223002902 |
| Provider Name | Rosalina Valdez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861945917 PECOS PAC ID: 7618312992 Enrollment ID: I20240226003704 |
| 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 | Susan Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972719938 PECOS PAC ID: 0941647218 Enrollment ID: I20240321003346 |
| Provider Name | Kayla Erin Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164823100 PECOS PAC ID: 9931546124 Enrollment ID: I20240322004295 |
| Provider Name | Joseline Rebeca Vergara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871236091 PECOS PAC ID: 2961841960 Enrollment ID: I20240423001862 |
| Provider Name | Jill E Winters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528319134 PECOS PAC ID: 6204370919 Enrollment ID: I20240704000000 |
| Provider Name | Fatima Y Zavala Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255176004 PECOS PAC ID: 1052842945 Enrollment ID: I20241002003155 |
Abrite, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 749 37th Ave, Santa Cruz, CA 95062 Phone: 844-334-7021 Fax: 888-334-7021 | |
Family Service Agency Of The Central Coast Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Walnut Ave, Ste 208, Santa Cruz, CA 95060 Phone: 831-423-9444 Fax: 831-423-1532 | |
Anna Paganelli, Ma, Mft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Soquel Ave Ste 107, Santa Cruz, CA 95062 Phone: 831-425-7400 | |
Bonny Doon Union Elementary School District Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1492 Pine Flat Rd, Santa Cruz, CA 95060 Phone: 831-427-2300 | |
Holly Hughes & Co., Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 Front St Ste 370, Santa Cruz, CA 95060 Phone: 831-713-5609 | |
Coastline Support, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1509 Seabright Ave., C-1, Santa Cruz, CA 95062 Phone: 831-426-6436 Fax: 831-426-6891 |