Active NPI
Sara Avila, ASW
- Addiction (Substance Use Disorder) Counselor
- Hollister, CA
National Provider Identifier
1467640706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1131 San Felipe Rd
Hollister, CA 95023-2800 - Phone
- (831) 636-4020
- NPI assigned
- Oct 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1131 San Felipe Rd
Hollister, CA 95023-2800
Mailing address
1131 San Felipe Rd
Hollister, CA 95023-2800
Phone (831) 636-4020
Other names 1
- Sara Snyder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75672 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Cruz | Current | Accepting new patients | |
| Puentes Al Sur | Past | Accepting new patients |
Locations
1400 Emeline Ave
Santa Cruz, CA 95060
Phone (831) 454-4900
Interoperability endpoints
- saraavila@sccbh.netsmartdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Santa Cruz, CA
- NPI 1548304660
-
- Adult Mental Health Clinic/Center
- Watsonville, CA
- NPI 1992849012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1467640706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 SAN FELIPE RD",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950232800",
"telephone_number": "831-636-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 SAN FELIPE RD",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950232800",
"telephone_number": "831-636-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "SARA",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "SNYDER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hollister, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.