Recovery Cafe Santa Cruz

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

RECOVERY CAFE SANTA CRUZ

Practice address

850 Front Street #7841
Santa Cruz, CA 95061

Phone

(831) 687-8783

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Serg Kagno

Title

Executive Director

Phone

(831) 222-0554

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1700650579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7841",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950617841",
            "telephone_number": "831-222-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 FRONT STREET #7841",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95061",
            "telephone_number": "831-687-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CAFE SANTA CRUZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "KAGNO",
        "authorized_official_first_name": "SERG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-222-0554"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Delise Raymond
• Dakota Raymundo
• Citlaly Real
• Gary Michael Reaves, A.C.S.W.
• Marla A Reckart, MD
• Lynna Redhawk
• Alyce Redman, LCPC
• Phoenix Redstone, LMFT
• Redwood Caregiving Alliance, Inc.
• Anjel Lynn Larkin Reed

• Case Manager/Care Coordinator in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.