COUNTY OF SANTA CRUZ
NPI 1659315430
Clinic/Center in Santa Cruz, CA

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

The NPI number for County Of Santa Cruz is 1659315430. It was assigned to this organization in the NPPES registry on June 15, 2006.

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 15, 2006

1080 EMELINE AVE, SANTA CRUZ, CA 95060(831) 454-4000(831) 454-4663 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About County Of Santa Cruz NPPES

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

COUNTY OF SANTA CRUZ (NPI 1659315430) is a healthcare organization registered as a clinic/center in Santa Cruz, California and active in the NPI registry since June 2006. The organization lists Connie Moreno-peraza, Health Services Agency Director, as its authorized official.

NPPES Registry Identity

NPI1659315430

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCOUNTY OF SANTA CRUZ

Location Address1080 EMELINE AVESanta Cruz, CA 95060-1966

Mailing AddressPo Box 1439Santa Cruz, CA 95061-1439 · (831) 454-4170 · Fax (831) 454-4663

Phone(831) 454-4000

Fax(831) 454-4663

Organization SubpartNo

Authorized OfficialConnie Moreno-perazaHealth Services Agency Director · (831) 454-4000

Enumeration DateJune 15, 2006

Last NPPES UpdateFebruary 10, 2026

NPPES CertifiedFebruary 10, 2026

✔ NPI 1659315430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedPublic Health or WelfareTaxonomy 251K00000X

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

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 Identifiers 2

MedicaidFHC70044FCA

MedicaidFHC70042FCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20031201000251Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 89 clinicians reassign Medicare billing to County Of Santa Cruz, which bills Medicare for the services they deliver. Of these, 25 practice at this address and 53 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Clinical Social Worker26

Psychiatry20

Nurse Practitioner16

Family Practice10

Clinical Psychologist5

General Practice4

Internal Medicine2

Orthopedic Surgery2

4 other specialties4

Nearest to this location (20)

See all 89

Dimitri Bacos, M.D.

Psychiatry

NPI 1760712814