NPIMap

Organization Active NPI

Salud Para la Gente

  • Federally Qualified Health Center (FQHC)
  • Santa Cruz, CA
National Provider Identifier
1356540587
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
550000001 Issued in CA
Legal business name
SALUD PARA LA GENTE
Practice address
302 Riverside Ave
Santa Cruz, CA 95060-5524
Phone
(831) 728-8250
Fax
(831) 728-0313
NPI assigned
Jul 17, 2007
Organization subpart
Yes
Parent organization
SALUD PARA LA GENTE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Dori Rose Inda
Title
Chief Executive Officer
Phone
(831) 728-8250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 550000001 CA Primary

Addresses

Primary practice location

302 Riverside Ave
Santa Cruz, CA 95060-5524

Mailing address

195 Aviation Way
Suite 200
Watsonville, CA 95076-2053
Phone (831) 728-8250

Other identifiers 1

IdentifierTypeStateIssuer
FHC71073FMedicaidCA

Other names 1

  • Beach Flats Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031210000627 CA Part B Supplier - Clinic/Group Practice 8729984729 Receives reassigned benefits from 115 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santa Cruz, CA; Watsonville, CA; Salinas, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Salud Para la Gente-Elderday Santa Cruz

Locations

302 Riverside Ave
Santa Cruz, CA 95060
Phone 83172882501888

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1356540587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 AVIATION WAY",
            "address_2": "SUITE 200",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762053",
            "telephone_number": "831-728-8250",
            "fax_number": "831-786-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RIVERSIDE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950605524",
            "telephone_number": "831-728-8250",
            "fax_number": "831-728-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALUD PARA LA GENTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALUD PARA LA GENTE, INC.",
        "enumeration_date": "2007-07-17",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "ROSE INDA",
        "authorized_official_first_name": "DORI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "831-728-8250"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550000001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC71073F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Flats Health Center",
            "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 Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.