Individual provider Active NPI

Eric Snickars

  • Community Health Worker
  • Santa Cruz, CA
National Provider Identifier
1043082647
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
1201 Shaffer Rd BLDG 1
Suite 1a
Santa Cruz, CA 95060-5761
Phone
(831) 400-8981
Fax
(831) 466-9039
NPI assigned
Oct 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

1201 Shaffer Rd BLDG 1
Suite 1a
Santa Cruz, CA 95060-5761

Mailing address

1201 Shaffer Rd BLDG 1
Suite 1a
Santa Cruz, CA 95060-5761
Phone (831) 400-8981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Front St. Inc. CurrentSince Apr 28, 2024 Accepting new patients

Locations

1201 Shaffer Rd
Ste 1A
Santa Cruz, CA 95060
Phone (831) 247-6510

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1043082647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SHAFFER RD BLDG 1",
            "address_2": "SUITE 1A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950605761",
            "telephone_number": "831-400-8981",
            "fax_number": "831-466-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SHAFFER RD BLDG 1",
            "address_2": "SUITE 1A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950605761",
            "telephone_number": "831-400-8981",
            "fax_number": "831-466-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNICKARS",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 2023; 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.