Healthcare Provider Details

I. General information

NPI: 1285565028
Provider Name (Legal Business Name): SANTA CRUZ BARRIOS UNIDOS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1817 SOQUEL AVE
SANTA CRUZ CA
95062-1307
US

IV. Provider business mailing address

1817 SOQUEL AVE
SANTA CRUZ CA
95062-1307
US

V. Phone/Fax

Practice location:
  • Phone: 831-457-8208
  • Fax:
Mailing address:
  • Phone: 831-457-8208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA PATSTONE
Title or Position: DIRECTOR OF DEVELOPMENT
Credential:
Phone: 831-457-8208