COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY FQHC SANTA CRUZ CLINIC
NPI 1578680310
Clinic/Center - Federally Qualified Health Center (FQHC) in Santa Cruz, CA

NPI Status: Active since March 26, 2007

Contact Information

1080 EMELINE AVE
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 454-4100
Fax: (831) 454-4296

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 05D0902998
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 06-19-2026

About COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY FQHC SANTA CRUZ CLINIC

This page provides the complete NPI Profile along with additional information for County Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic, a primary care provider established in Santa Cruz, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1578680310 assigned on March 2007. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is County Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic. The authorized official of this NPI record is Amy Peeler (Chief Of Clinics)

NPI
1578680310
Provider Legal Name
COUNTY OF SANTA CRUZ
Other Organization Name
COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY FQHC SANTA CRUZ CLINIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1080 EMELINE AVE SANTA CRUZ, CA 95060
Location Phone
(831) 454-4100
Location Fax
(831) 454-4296
Mailing Address
1080 EMELINE AVE SANTA CRUZ, CA 95060
Mailing Phone
(831) 454-4100
Mailing Fax
(831) 454-4296
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-26-2007
Last Update Date
11-28-2023
Code Navigator

A primary care provider (PCP) like County Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

(CA)
3261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMY PEELER

Authorized Official Title
CHIEF OF CLINICS
Authorized Official Phone
(831) 454-4764

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
FHC70042FMEDICAID (05)CA 
HAP70042FOTHER (01)CASTATE - FAMILY PLANNING
BCP70042FOTHER (01)CACANCER DETECTION PROGRM
1659315430OTHER (01)CALEGAL ENTITY NPI

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0902998
Facility Type
Federally Qualified Health Center
Certificate Effective Date
June 20, 2024
Certificate Expiration Date
June 19, 2026
Laboratory Director
SUSAN WEAVER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to County Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY FQHC SANTA CRUZ CLINIC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1578680310, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 4 + 8 + 1 + 2 + 8 + 0 + 3 + 2 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1578680310.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Orthopaedic Surgery
1080 EMELINE AVE, CLINIC ADMIN
SANTA CRUZ, CA 95060
Preventive Medicine (Public Health & General Preventive Medicine)
1080 EMELINE AVE, BLDG D HEALTH SERVICES AGENCY COUNTY OF SANTA CRUZ
SANTA CRUZ, CA 95060
Pharmacy
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Counselor (Mental Health)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychiatry & Neurology (Psychiatry)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychiatry & Neurology (Psychiatry)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Social Worker (Clinical)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychologist (Clinical)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychiatry & Neurology (Psychiatry)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychologist (Clinical)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Clinic/Center
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Social Worker (Clinical)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Marriage & Family Therapist
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Nurse Practitioner (Family)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Psychiatry & Neurology (Forensic Psychiatry)
1080 EMELINE AVE
SANTA CRUZ, CA 95060
Preventive Medicine (Public Health & General Preventive Medicine)
1080 EMELINE AVE, 2ND FLOOR, PUBLIC HEALTH
SANTA CRUZ, CA 95060
Family Medicine
1080 EMELINE AVE, ATTN: CLINIC ADMIN
SANTA CRUZ, CA 95060
Psychiatry & Neurology (Psychiatry)
1080 EMELINE AVE, 1400 EMELINE AVE, BLDG K
SANTA CRUZ, CA 95060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578680310, enumerated as an "organization" on March 26, 2007.

The provider is located at 1080 EMELINE AVE SANTA CRUZ, CA 95060 and the phone number is (831) 454-4100.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.