NPIMap

Organization Active NPI

Santa Cruz Core Fitness and Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Santa Cruz, CA
National Provider Identifier
1942585153
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
SANTA CRUZ CORE FITNESS AND REHAB
Practice address
317 Potrero St
Ste C
Santa Cruz, CA 95060-7610
Phone
(831) 425-9500
Fax
(831) 466-9156
NPI assigned
Oct 19, 2011
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Ms. Jaimi Ellison
Title
Owner
Phone
(831) 425-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X CA Primary

Addresses

Primary practice location

317 Potrero St
Ste C
Santa Cruz, CA 95060-7610

Mailing address

317 Potrero St
Ste C
Santa Cruz, CA 95060-7610
Phone (831) 425-9500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1942585153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 POTRERO ST",
            "address_2": "STE C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607610",
            "telephone_number": "831-425-9500",
            "fax_number": "831-466-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 POTRERO ST",
            "address_2": "STE C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607610",
            "telephone_number": "831-425-9500",
            "fax_number": "831-466-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA CRUZ CORE FITNESS AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "JAIMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-425-9500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "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 19, 2011; 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.