Healthcare Provider Details

I. General information

NPI: 1710717954
Provider Name (Legal Business Name): ITZAYANA OCARANZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2024
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 FRONT ST
SANTA CRUZ CA
95060-4402
US

IV. Provider business mailing address

26 PLUMTREE DR
HOLLISTER CA
95023-3414
US

V. Phone/Fax

Practice location:
  • Phone: 831-427-3387
  • Fax:
Mailing address:
  • Phone: 408-858-0832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: