NPIMap

Organization Active NPI

Santa Cruz-Monterey Managed Medical

  • Health Maintenance Organization
  • Scotts Valley, CA
National Provider Identifier
1811254014
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
SANTA CRUZ-MONTEREY MANAGED MEDICAL
Practice address
1600 Green Hills Rd
Ste 101
Scotts Valley, CA 95066-4981
Phone
(831) 430-5500
Fax
(831) 430-5856
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Ms. Patricia O'Brien
Title
Member Services Resolution Manager
Phone
(831) 430-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1600 Green Hills Rd
Ste 101
Scotts Valley, CA 95066-4981

Mailing address

1600 Green Hills Rd
Ste 101
Scotts Valley, CA 95066-4981
Phone (831) 430-5500

Other names 1

  • Central California Alliance for Health Doing business as

National Provider Directory

National Provider Directory

Locations

1600 Green Hills Rd
Ste 101
Scotts Valley, CA 95066
Phone (831) 430-4130

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1811254014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 GREEN HILLS RD",
            "address_2": "STE 101",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664981",
            "telephone_number": "831-430-5500",
            "fax_number": "831-430-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GREEN HILLS RD",
            "address_2": "STE 101",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664981",
            "telephone_number": "831-430-5500",
            "fax_number": "831-430-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CRUZ-MONTEREY MANAGED MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MEMBER SERVICES RESOLUTION MANAGER",
        "authorized_official_telephone_number": "831-430-5500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central California Alliance for Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scotts Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.