NPIMap

Organization Active NPI

Telecare Corporation

  • Psychiatric Hospital
  • Santa Cruz, CA
National Provider Identifier
1780926964
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
TELECARE CORPORATION
Practice address
2250 Soquel Ave
Suite 150
Santa Cruz, CA 95062-1402
Phone
(831) 600-2801
Fax
(831) 600-2820
NPI assigned
Mar 26, 2013
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Lorena Lopez
Title
Provider Relations Supervisor
Phone
(510) 292-7024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

2250 Soquel Ave
Suite 150
Santa Cruz, CA 95062-1402

Mailing address

1080 Marina Village Pkwy Ste 100
Alameda, CA 94501-1078
Phone (510) 337-7950

Other names 1

  • SANTA CRUZ COUNTY PHF Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070614000167 CA Part B Supplier - Clinic/Group Practice 6901820380 Receives reassigned benefits from 246 practitioners
This NPI is an additional NPI on the enrollment
O20131126001749 CA Part A Provider - Hospital 6901820380 Practice locations: Santa Cruz, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780926964. Details of each certification follow.

Hospital certification: CCN 054152

Legal name
TELECARE CORPORATION
Doing business as
SANTA CRUZ COUNTY PSYCHIATRIC HEALTH FACILITY
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jun 30, 2014
Last certification
Oct 19, 2022
Beds
16
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Aug 23, 1965 in CA
Enrollment address
2250 Soquel Ave
Ste 150
Santa Cruz, CA 95062-1402
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Santa Cruz County Psychiatric Health FacilityCCN 054152 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Wiederstein Individual Corporate OfficerSVP, Officer Apr 1, 2013 4%
Joan Meisel Individual Corporate DirectorBoard Member Aug 18, 2005
Nanci Fredkin Individual Corporate OfficerSecretary, Board Member Nov 28, 2008 18.48%
Marshall Langfeld Individual Corporate Officer Aug 18, 2005
Faith Richie Individual Corporate OfficerSVP, Officer Aug 18, 2005
Trisha J Niemuth Individual Corporate Officer Jun 1, 2023
Corporate Director Jun 1, 2023
W-2 Managing EmployeeCfo Jun 1, 2023
Lorena Lopez Individual W-2 Managing EmployeeProvider Relations Supervisor Jan 1, 2020
Anne L Bakar Individual 5% Or Greater Direct Ownership Interest Dec 16, 2013 32.3%
Corporate OfficerPresident, Ceo Board Member Offi Dec 16, 2013
Corporate DirectorPresident, Ceo Board Member Offi Dec 16, 2013

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Morton Bakar CenterCherryland, CA, CCN 555611 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 5, 1994

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1780926964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 MARINA VILLAGE PKWY STE 100",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011078",
            "telephone_number": "510-337-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 SOQUEL AVE",
            "address_2": "SUITE 150",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621402",
            "telephone_number": "831-600-2801",
            "fax_number": "831-600-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELECARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "PROVIDER RELATIONS SUPERVISOR",
        "authorized_official_telephone_number": "510-292-7024"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANTA CRUZ COUNTY PHF",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SANTA CRUZ COUNTY PHF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.