Active NPI
Second Harvest Food Bank Santa Cruz County
- Nutrition Education Nutritionist
- Watsonville, CA
National Provider Identifier
1083475107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Legal business name
- SECOND HARVEST FOOD BANK SANTA CRUZ COUNTY
- Doing business as
- Second Harvest Food Bank Santa Cruz County
- Practice address
- 800 Ohlone Pkwy
Watsonville, CA 95076-7005 - Phone
- (831) 722-7110
- NPI assigned
- Jan 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Erica Padilla-Chavez
- Title
- Ceo
- Phone
- (831) 783-5350
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | Primary | ||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Registered Dietetic Technician | 136A00000X | |||
| Health & Wellness Coach | 171400000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Meals Provider | 174200000X | |||
| Case Management Agency | 251B00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Home Delivered Meals | 332U00000X | |||
| Prevention Professional | 405300000X |
Addresses
Primary practice location
800 Ohlone Pkwy
Watsonville, CA 95076-7005
Mailing address
800 Ohlone Pkwy
Watsonville, CA 95076-7005
Phone (831) 722-7110
Other names 1
- Second Harvest Food Bank Santa Cruz County
National Provider Directory
National Provider DirectoryLocations
800 Ohlone Pkwy
Watsonville, CA 95076
Phone (831) 722-7110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705968000000",
"number": "1083475107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 OHLONE PKWY",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950767005",
"telephone_number": "831-722-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 OHLONE PKWY",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950767005",
"telephone_number": "831-722-7110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECOND HARVEST FOOD BANK SANTA CRUZ COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A",
"authorized_official_last_name": "PADILLA-CHAVEZ",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "831-783-5350",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "136A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietetic Technician, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Second Harvest Food Bank Santa Cruz County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.