NPIMap

Organization Active NPI

Janus of Santa Cruz

  • Substance Abuse Rehabilitation Facility
  • Santa Cruz, CA
National Provider Identifier
1194971473
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
440003DN Issued in CA
Legal business name
JANUS OF SANTA CRUZ
Practice address
516 Chestnut St.
Santa Cruz, CA 95060-3669
Phone
(831) 423-9015
Fax
(831) 423-9098
NPI assigned
Aug 18, 2008
Last updated
Feb 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Amber WilliamsNPI 1215289533
Title
Chief Executive Officer
Phone
(831) 278-7906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 440003DN CA Primary

Addresses

Primary practice location

516 Chestnut St.
Santa Cruz, CA 95060-3669

Mailing address

200 7TH Avenue
Suite 150
Santa Cruz, CA 95062-4668
Phone (831) 462-1060

Other identifiers 1

IdentifierTypeStateIssuer
4496MedicaidCA

Other names 1

  • Mondanaro-Baskin Center for Women and Children Other name

National Provider Directory

National Provider Directory
Tax ID family
Janus of Santa Cruz7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1194971473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 7TH AVENUE",
            "address_2": "SUITE 150",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624668",
            "telephone_number": "831-462-1060",
            "fax_number": "831-462-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 CHESTNUT ST.",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603669",
            "telephone_number": "831-423-9015",
            "fax_number": "831-423-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANUS OF SANTA CRUZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "831-278-7906"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "440003DN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4496",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mondanaro-Baskin Center for Women and Children",
            "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 Feb 23, 2022; 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.