Individual provider Active NPI

Vanessa B Maguina Mendoza, ACSW

  • Clinical Social Worker
  • Santa Cruz, CA
National Provider Identifier
1831937911
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
133657 Issued in CA
Practice address
530 Soquel Ave
Santa Cruz, CA 95062-2301
Phone
(831) 426-7322
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 133657 CA Primary

Addresses

Primary practice location

530 Soquel Ave
Santa Cruz, CA 95062-2301

Mailing address

150 Sunnyside Ave
Santa Cruz, CA 95062-1038
Phone (831) 435-0924

Other practice location 1

1400 Emeline Ave Bldg K
Santa Cruz, CA 95060-1976
Phone (831) 454-4000

Other identifiers 1

IdentifierTypeStateIssuer
390200000XMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
133657CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parents Center, Inc. CurrentSince Jul 13, 2025 Accepting new patients
Parents Center PastSince Jul 13, 2025 Accepting new patients
County of Santa Cruz PastSince Jul 1, 2024 Accepting new patients

Locations

530 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 426-7322

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1831937911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SUNNYSIDE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621038",
            "telephone_number": "831-435-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SOQUEL AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622301",
            "telephone_number": "831-426-7322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Emeline Ave Bldg K",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950601976",
            "country_code": "US",
            "telephone_number": "831-454-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGUINA MENDOZA",
        "first_name": "VANESSA",
        "middle_name": "B",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "133657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390200000X",
            "state": "CA"
        }
    ],
    "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 13, 2025; 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.