PACIFIC KETAMINE AND WELLNESS, A PROFESSIONAL NURSING CORPORATION
NPI 1629882956
Clinic/Center - Mental Health (Including Community Mental Health Center) in Santa Cruz, CA

Active since February 06, 2025
412 CEDAR ST STE C2, SANTA CRUZ, CA 95060(831) 824-4003 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, Jun 3, 2025, Feb 6, 2025 (3 updates tracked since 2025).

About Pacific Ketamine And Wellness, A Professional Nursing Corporation NPPES

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

PACIFIC KETAMINE AND WELLNESS, A PROFESSIONAL NURSING CORPORATION (NPI 1629882956) is a healthcare organization registered as a mental health (including community mental health center) in Santa Cruz, California and active in the NPI registry since February 2025. The organization lists Jaime Jimenez, Owner/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1629882956
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePACIFIC KETAMINE AND WELLNESS, A PROFESSIONAL NURSING CORPORATION
Location Address412 CEDAR ST STE C2Santa Cruz, CA 95060-4369
Mailing Address412 Cedar St Ste C2Santa Cruz, CA 95060-4369 · (831) 824-4003
Organization SubpartNo
Authorized OfficialJaime JimenezOwner/nurse Practitioner · (831) 824-4003
Enumeration DateFebruary 6, 2025
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
NPI 1629882956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
412 CEDAR ST STE C2, Santa Cruz, CA 95060

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
412 CEDAR ST STE C2
SANTA CRUZ, CA 95060

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 Pacific Ketamine And Wellness, A Professional Nursing Corporation's NPI number?

The NPI number for Pacific Ketamine And Wellness, A Professional Nursing Corporation is 1629882956. It was assigned to this organization in the NPPES registry on February 6, 2025.

Where is Pacific Ketamine And Wellness, A Professional Nursing Corporation located?

Pacific Ketamine And Wellness, A Professional Nursing Corporation is located at 412 Cedar St Ste C2, Santa Cruz, CA 95060. The listed phone number is (831) 824-4003.

What is Pacific Ketamine And Wellness, A Professional Nursing Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Pacific Ketamine And Wellness, A Professional Nursing Corporation was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.