SHORELINE MIDDLE SCHOOL
NPI 1184352056
Clinic/Center - Adolescent and Children Mental Health in Santa Cruz, CA

Q: What is Santa Cruz Community Health Centers's NPI number?

The NPI number for Santa Cruz Community Health Centers is 1184352056. It was assigned to this organization in the NPPES registry on August 9, 2022. The provider is doing business as Shoreline Middle School.

Q: What is Santa Cruz Community Health Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since August 09, 2022CLIA 05D2342522 · Microscopy

855 17TH AVE, SANTA CRUZ, CA 95062(831) 427-3500(831) 426-3286 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shoreline Middle School NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORELINE MIDDLE SCHOOL (NPI 1184352056) is a healthcare organization registered as an adolescent and children mental health in Santa Cruz, California and active in the NPI registry since August 2022. The organization holds a CLIA Microscopy certificate valid through April 20, 2028 and lists Ruth Jasso, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1184352056

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameSANTA CRUZ COMMUNITY HEALTH CENTERS

Location Address855 17TH AVESanta Cruz, CA 95062-4169

Mailing AddressPo Box 542Santa Cruz, CA 95061-0542 · (831) 427-3500 · Fax (831) 426-3286

Phone(831) 427-3500

Fax(831) 426-3286

Organization SubpartYes

Authorized OfficialRuth JassoRevenue Cycle Manager · (831) 427-3500

Enumeration DateAugust 9, 2022

NPPES CertifiedAugust 9, 2022

✔ NPI 1184352056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

855 17TH AVE, Santa Cruz, CA 95062

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Other Names 1

Doing Business AsShoreline Middle School

Other Identifiers 1

Medicaid1952749541CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2342522

Santa Cruz Mountain Health Center 2 · Ben Lomond, CA

Active · expires Apr 20, 2028

CLIA Number05D2342522

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateApril 21, 2026

Certificate Expiration DateApril 20, 2028

Laboratory DirectorStephanie Chang

Laboratory Phone(831) 427-3500

Laboratory LocationSanta Cruz Mountain Health Center 2231 Main Street, Suite A, Ben Lomond, CA 95005

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santa Cruz Community Health Centers's NPI number?

The NPI number for Santa Cruz Community Health Centers is 1184352056. It was assigned to this organization in the NPPES registry on August 9, 2022. The provider is doing business as Shoreline Middle School.

Where is Santa Cruz Community Health Centers located?

Santa Cruz Community Health Centers is located at 855 17th Ave, Santa Cruz, CA 95062. The listed phone number is (831) 427-3500.

What is Santa Cruz Community Health Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Santa Cruz Community Health Centers hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2342522) is associated with this NPI, valid through April 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Santa Cruz Community Health Centers was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.