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NPI Code Detail

MEDICARE: JANUS OF SANTA CRUZ

MEDICARE: JANUS OF SANTA CRUZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3261QM0850XAdult Mental Health Clinic/Center
4261QM0855XAdolescent and Children Mental Health Clinic/Center
5251S00000XCommunity/Behavioral Health Agency440003ENCA
6261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center440003ENCA
7276400000XSubstance Use Disorder Rehabilitation Hospital Unit
8324500000XSubstance Abuse Rehabilitation Facility
9261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2440003BNOTHERCADHCS
3440003ANOTHERCADHCS

General Provider Information

NPI Number : 1467608745
Entity Type Code : Organization
Provider Name (Legal Business Name) : JANUS OF SANTA CRUZ
Provider Business Mailing Address
First Line : 200 7TH AVENUE
Second Line : SUITE 150
City : SANTA CRUZ
State : CA
Zip : 95062-4668
Country : US
Telephone Number : 831-462-1060
Fax Number : 831-462-4970
Provider Business Practice Location Address
First Line : 200 7TH AVE STE 150
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-4669
Country : US
Telephone Number : 831-462-1060
Fax Number : 831-462-4970
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : AMBER WILLIAMS
Credential :
Telephone Number : 831-278-7906
Provider Enumeration Date : 08/18/2008
Last Update Date : 03/08/2022

Similar Medicare Providers

1255276150 — MAURA DAWN SALADO
Practice Location Address:
200 7TH AVE STE 150
SANTA CRUZ, CA
95062-4669
Practice Phone: 831-462-1060
Practice Fax:
1427169796 — HOWARD SALEM MAGARIAN M.D.
Practice Location Address:
200 7TH AVE STE 150
SANTA CRUZ, CA
95062-4669
Practice Phone: 831-462-1060
Practice Fax:
1205000379 — JESSICA ROSE NICHOLS
Practice Location Address:
200 7TH AVE STE 150
SANTA CRUZ, CA
95062-4669
Practice Phone: 831-462-1060
Practice Fax: 831-462-4970
1104083062 — MRS. OFELIA O GALLEGOS II
Practice Location Address:
200 7TH AVE STE 150
SANTA CRUZ, CA
95062-4669
Practice Phone: 831-462-1060
Practice Fax:
1528215316 — CHRIS A STORMS MS
Practice Location Address:
200 7TH AVE STE 150
SANTA CRUZ, CA
95062-4669
Practice Phone: 831-462-1060
Practice Fax: 831-462-4970
1790932515 — MARGIE L STORMS PH.D, CCS
Practice Location Address:
200 7TH AVE STE 150
SANTA CRUZ, CA
95062-4669
Practice Phone: 831-462-1060
Practice Fax: 831-462-4970

Directions to “JANUS OF SANTA CRUZ ” Practice Location

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