Healthcare Provider Details

I. General information

NPI: 1558286880
Provider Name (Legal Business Name): COUNTY OF SANTA CRUZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 EMELINE AVE
SANTA CRUZ CA
95060-1966
US

IV. Provider business mailing address

1060 EMELINE AVE
SANTA CRUZ CA
95060-1966
US

V. Phone/Fax

Practice location:
  • Phone: 831-454-5439
  • Fax: 831-454-4488
Mailing address:
  • Phone: 831-454-5439
  • Fax: 831-454-4488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: KRISTINA N RIERA
Title or Position: ASO II
Credential:
Phone: 831-454-5401