NPIMap

Organization Active NPI

Janus of Santa Cruz

  • Substance Abuse Rehabilitation Facility
  • Santa Cruz, CA
National Provider Identifier
1578620183
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
440003BN Issued in CA
Legal business name
JANUS OF SANTA CRUZ
Practice address
200 7TH Avenue
Suite 150
Santa Cruz, CA 95062-4668
Phone
(831) 462-1060
Fax
(831) 462-4970
NPI assigned
Jan 2, 2007
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 Williams
Title
Chief Executive Officer
Phone
(831) 278-7906

Specialties & licenses 1

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

Addresses

Primary practice location

200 7TH Avenue
Suite 150
Santa Cruz, CA 95062-4668

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
4496MedicaidCA

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1578620183",
    "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": "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANUS OF SANTA CRUZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "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": "440003BN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4496",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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.