NPIMap

Organization Active NPI

El Dorado Center Partial Hospitalization

  • Psychiatric Hospital Unit
  • Santa Cruz, CA
National Provider Identifier
1023228574
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
EL DORADO CENTER PARTIAL HOSPITALIZATION
Practice address
947 El Dorado Ave
Santa Cruz, CA 95062-2863
Phone
(831) 479-7195
Fax
(831) 479-0284
NPI assigned
May 23, 2007
Organization subpart
Yes
Parent organization
COUNTY OF SANTA CRUZAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Georgette Dufresne
Title
Manager
Phone
(831) 479-7195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X CA Primary

Addresses

Primary practice location

947 El Dorado Ave
Santa Cruz, CA 95062-2863

Mailing address

947 El Dorado Ave
Santa Cruz, CA 95062-2863
Phone (831) 479-7195

Other identifiers 1

IdentifierTypeStateIssuer
44ALMedicaidCA

Other names 1

  • DOMINICAN HOSPITAL PARTIAL HOSPITALIZATION Other name

National Provider Directory

National Provider Directory
Part of
Puentes Al Sur

Locations

947 El Dorado Ave
Santa Cruz, CA 95062
Phone (831) 479-7195

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1023228574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 EL DORADO AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622863",
            "telephone_number": "831-479-7195",
            "fax_number": "831-479-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 EL DORADO AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622863",
            "telephone_number": "831-479-7195",
            "fax_number": "831-479-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO CENTER PARTIAL HOSPITALIZATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA CRUZ",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DUFRESNE",
        "authorized_official_first_name": "GEORGETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "831-479-7195"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44AL",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOMINICAN HOSPITAL PARTIAL HOSPITALIZATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.