Organization Active NPI

Santa Cruz Light Therapy

  • Pain Clinic/Center
  • Santa Cruz, CA
National Provider Identifier
1942033816
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
SANTA CRUZ LIGHT THERAPY
Doing business as
Santa Cruz Light Therapy
Practice address
540 Soquel Ave Ste 6
Santa Cruz, CA 95062-2353
Phone
(831) 387-9401
NPI assigned
Aug 24, 2024
Last updated
Aug 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Authorized official

Name
Donna Cherie
Title
Co-Owner
Phone
(831) 247-0321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

540 Soquel Ave Ste 6
Santa Cruz, CA 95062-2353

Mailing address

640B Tabor Dr
Scotts Valley, CA 95066-2843
Phone (831) 387-9401

Other names 1

  • Santa Cruz Light Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

540 Soquel Ave
Ste 6
Santa Cruz, CA 95062
Phone (831) 387-9401

NPI Registry JSON

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1942033816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640B TABOR DR",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950662843",
            "telephone_number": "831-387-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SOQUEL AVE STE 6",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622353",
            "telephone_number": "831-387-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CRUZ LIGHT THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "CHERIE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "831-247-0321"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Cruz Light Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 24, 2024; 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.