Active NPI
Janus of Santa Cruz
- Substance Use Disorder Rehabilitation Hospital Unit
- Capitola, CA
National Provider Identifier
1356063523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Hospital Unit
- Legal business name
- JANUS OF SANTA CRUZ
- Practice address
- 2206 Derby Ave
Capitola, CA 95010-2023 - Phone
- (831) 462-1060
- NPI assigned
- Sep 14, 2022
- Organization subpart
- Yes
- Parent organization
- JANUS OF SANTA CRUZ
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber Williams
- Title
- Ceo
- Phone
- (831) 462-1060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | Primary |
Addresses
Primary practice location
2206 Derby Ave
Capitola, CA 95010-2023
Mailing address
200 7TH Ave Ste 150
Santa Cruz, CA 95062-4669
Other names 1
- Recovery Residence Capitola
National Provider Directory
National Provider Directory- Part of
- Janus of Santa Cruz
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663113600000",
"number": "1356063523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 7TH AVE STE 150",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950624669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2206 DERBY AVE",
"city": "CAPITOLA",
"state": "CA",
"postal_code": "950102023",
"telephone_number": "831-462-1060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANUS OF SANTA CRUZ",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JANUS OF SANTA CRUZ",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "831-462-1060"
},
"taxonomies": [
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Recovery Residence Capitola",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Capitola, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.