Jorge Pulido Sanchez, CADDESO411260827

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CADDESO411260827 Issued in CA

Practice address

125 Rigg St
Santa Cruz, CA 95060-4203

Phone

(831) 423-3890

Fax

(831) 423-6657

NPI assigned

Jan 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Jorge Pulido Sanchez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Encompass Community Services

  • Substance Abuse Rehabilitation Facility
  • Santa Cruz, CA
  • NPI 1538385562
  NPD (past)
• Scccc

  • Substance Abuse Rehabilitation Facility
  • Santa Cruz, CA
  • NPI 1659629863
  NPD (past)

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1679939383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 STANFORD ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763268",
            "telephone_number": "831-840-3060",
            "fax_number": "831-423-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RIGG ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604203",
            "telephone_number": "831-423-3890",
            "fax_number": "831-423-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "JORGE",
        "middle_name": "PULIDO",
        "name_prefix": "Mr.",
        "credential": "CADDESO411260827",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CADDESO411260827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "10",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORGE",
            "last_name": "SANCHEZ",
            "middle_name": "PULIDO",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Denise Sanchez
• Dina Irasema Sanchez
• Dominic Sanchez
• Georgette Sanchez
• Jayden Christian Sanchez
• Jose Antonio Sanchez
• Lizette Sanchez
• Marlyn Sanchez
• Michelle Sanchez, M.D.
• Norma Sanchez

• Addiction (Substance Use Disorder) Counselor in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.