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

Q: What is County Of Santa Cruz's NPI number?

The NPI number for County Of Santa Cruz is 1578680310. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is also known as County Of Santa Cruz Health Services Agency FQHC Santa Cruz Clinic.

Q: What is County Of Santa Cruz's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since March 26, 2007

1080 EMELINE AVE, SANTA CRUZ, CA 95060(831) 454-4100(831) 454-4296 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 26, 2018, May 17, 2017 (2 updates tracked since 2017).

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About County Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic NPPES

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

COUNTY OF SANTA CRUZ HEALTH SERVICES AGENCY FQHC SANTA CRUZ CLINIC (NPI 1578680310) is a healthcare organization registered as a federally qualified health center (fqhc) in Santa Cruz, California and active in the NPI registry since March 2007. The organization lists Amy Peeler, Chief Of Clinics, as its authorized official.

NPPES Registry Identity

NPI1578680310

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameCOUNTY OF SANTA CRUZ

Location Address1080 EMELINE AVESanta Cruz, CA 95060-1966

Mailing Address1080 Emeline AveSanta Cruz, CA 95060-1966 · (831) 454-4100 · Fax (831) 454-4488

Phone(831) 454-4100

Fax(831) 454-4296

Organization SubpartYes

Authorized OfficialAmy PeelerChief Of Clinics · (831) 454-4764

Enumeration DateMarch 26, 2007

Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration

NPPES CertifiedNovember 28, 2023

✔ NPI 1578680310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedClinic/CenterTaxonomy 261Q00000X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

1080 EMELINE AVE, Santa Cruz, CA 95060

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Other Names 1

Other NameCounty Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic

Other Identifiers 4

MedicaidFHC70042FCA

OtherHAP70042FCA · State - Family Planning

OtherBCP70042FCA · Cancer Detection Progrm

Other1659315430CA · Legal Entity Npi

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

County Of Santa Cruz Health Services Agency Fqhc Santa Cruz Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 45 clinicians reassign Medicare billing to County Of Santa Cruz Health Services Agency FQHC Santa Cruz Clinic, which bills Medicare for the services they deliver. Of these, 25 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Family Practice10

Nurse Practitioner10

Clinical Social Worker8

Psychiatry4

General Practice3

Clinical Psychologist2

Internal Medicine2

Orthopedic Surgery2

4 other specialties4

Nearest to this location (20)

See all 45

Dimitri Bacos, M.D.

Psychiatry

NPI 1760712814