Healthcare Provider Details

I. General information

NPI: 1003738899
Provider Name (Legal Business Name): ADRIANA MONDRAGON-SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 ENCINAL ST STE 200
SANTA CRUZ CA
95060-2178
US

IV. Provider business mailing address

104 VISTA POINTE DR
WATSONVILLE CA
95076-7014
US

V. Phone/Fax

Practice location:
  • Phone: 831-469-1700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: