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CHAD R HICKERSON MAOD
NPI 1760982128
Nursing Home Administrator in Santa Cruz, CA

Active since February 12, 2018
2250 SOQUEL AVE, SANTA CRUZ, CA 95062(831) 600-2801(831) 600-2801 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2018, Feb 12, 2018 (2 updates tracked since 2018).

About Chad R Hickerson Maod NPPES

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

CHAD R HICKERSON MAOD (NPI 1760982128) is an individual nursing home administrator provider in Santa Cruz, California and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1760982128
Entity TypeIndividualMale
Primary Taxonomy376G00000X
Provider Legal NameCHAD R HICKERSONCredential: MAOD
Location Address2250 SOQUEL AVESanta Cruz, CA 95062-1402
Mailing Address2250 Soquel AveSanta Cruz, CA 95062-1402 · (831) 600-2801
Phone(831) 600-2801
Fax(831) 600-2801
Sole ProprietorNo
Enumeration DateFebruary 12, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1760982128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
2250 SOQUEL AVE, Santa Cruz, CA 95062
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Other Providers at the Same Location NPPES 20

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

ASJA SERDAREVIC
Nurse Practitioner (Family)
2250 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 600-2800
WYATT BOYD R.N
Registered Nurse
2250 SOQUEL AVE, STE STE150
SANTA CRUZ, CA 95062
Santa Cruz County (831) 600-2801
OTTILIA E QUANDT
Registered Nurse
2250 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 600-2800
KATHERINE WILLIAMS ATR
Counselor (Mental Health)
2250 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 600-2801
GREG STEPHENS
Registered Nurse
2250 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 600-2800
ANDREA WARE
Registered Nurse (Psychiatric/Mental Health)
2250 SOQUEL AVE, STE 100
SANTA CRUZ, CA 95062
Santa Cruz County (831) 600-2800
LILIA HA'ENA WILLIAMS
Registered Nurse
2250 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 600-2800
TANYA KENNY
Registered Nurse
2250 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 600-2800

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 Chad Hickerson's NPI number?

The NPI number for Chad Hickerson is 1760982128. It was assigned to this individual provider in the NPPES registry on February 12, 2018.

Where is Chad Hickerson located?

Chad Hickerson practices at 2250 Soquel Ave, Santa Cruz, CA 95062. The listed phone number is (831) 600-2801.

What is Chad Hickerson's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Chad Hickerson was last updated on June 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.