Organization Active NPI

Sutter Santa Cruz Maternity and Surgery Center

Doing business as Visting Nurse Association of Santa Cruz County

  • Physical Therapist
  • Santa Cruz, CA
National Provider Identifier
1245353465
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUTTER SANTA CRUZ MATERNITY AND SURGERY CENTER
Doing business as
Visting Nurse Association of Santa Cruz County
Practice address
2880 Soquel Ave
Suite #10
Santa Cruz, CA 95062-1423
Phone
(831) 475-1501
NPI assigned
Apr 10, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Glen Groves
Title
Chief Financial Officer
Phone
(831) 458-5595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CA Primary

Addresses

Primary practice location

2880 Soquel Ave
Suite #10
Santa Cruz, CA 95062-1423

Mailing address

2880 Soquel Ave
Suite #10
Santa Cruz, CA 95062-1423
Phone (831) 475-1501

Other identifiers 1

IdentifierTypeStateIssuer
ZZR07007GMedicaidCA

Other names 1

  • Visting Nurse Association of Santa Cruz County Doing business as

National Provider Directory

National Provider Directory

Locations

2880 Soquel Ave
Ste 10
Santa Cruz, CA 95062
Phone (831) 475-1501

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245353465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 SOQUEL AVE",
            "address_2": "SUITE #10",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621423",
            "telephone_number": "831-475-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 SOQUEL AVE",
            "address_2": "SUITE #10",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621423",
            "telephone_number": "831-475-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTER SANTA CRUZ MATERNITY AND SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "831-458-5595"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR07007G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visting Nurse Association of Santa Cruz County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 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.