Organization Active NPI

Association of Faith Communities of Santa Cruz County, Inc.

  • Case Manager/Care Coordinator
  • Santa Cruz, CA
National Provider Identifier
1720851058
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ASSOCIATION OF FAITH COMMUNITIES OF SANTA CRUZ COUNTY, INC.
Practice address
501 Soquel Ave Ste G
Santa Cruz, CA 95062-2386
Phone
(831) 515-6964
NPI assigned
Oct 30, 2023
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Sam Altis
Title
Executive Director
Phone
(831) 515-6964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

501 Soquel Ave Ste G
Santa Cruz, CA 95062-2386

Mailing address

532 Center St
Santa Cruz, CA 95060-4313
Phone (831) 515-6964

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1720851058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 CENTER ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604313",
            "telephone_number": "831-515-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SOQUEL AVE STE G",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622386",
            "telephone_number": "831-515-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION OF FAITH COMMUNITIES OF SANTA CRUZ COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "ALTIS",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-515-6964"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 30, 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.