NPIMap

Organization Active NPI

Santa Cruz Community Health Centers

Doing business as East Cliff Family Health Center

  • Clinic/Center
  • Santa Cruz, CA
National Provider Identifier
1952749541
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SANTA CRUZ COMMUNITY HEALTH CENTERS
Doing business as
East Cliff Family Health Center
Practice address
1510 Capitola Rd
Santa Cruz, CA 95062-2912
Phone
(831) 427-3500
NPI assigned
Jun 5, 2013
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SANTA CRUZ COMMUNITY HEALTH CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Ms. Leslie Conner, MPH
Title
Executive Director
Phone
(831) 427-3482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1510 Capitola Rd
Santa Cruz, CA 95062-2912

Mailing address

PO Box 542
Santa Cruz, CA 95061-0542
Phone (831) 427-3500

Other practice location 1

21507 E Cliff Dr
Santa Cruz, CA 95062-4844
Phone (831) 427-3500

Other names 1

  • East Cliff Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20041004000763 CA Part B Supplier - Clinic/Group Practice 0840259107 Receives reassigned benefits from 31 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ben Lomond, CA; Santa Cruz, CA
O20140507000016 CA Part A Provider - Federally Qualified Health Center (FQHC) 0840259107 Practice locations: Santa Cruz, CA
O20180319001652 CA Part B Supplier - Clinic/Group Practice 0840259107 Receives reassigned benefits from 55 practitioners
Practice locations: Santa Cruz, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952749541. Details of each certification follow.

Federally qualified health center certification: CCN 751052

Legal name
SANTA CRUZ COMMUNITY HEALTH CENTERS
Doing business as
SANTA CRUZ COMMUNITY HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 29, 2014
Last certification
Apr 29, 2014
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Aug 12, 1974 in CA
Enrollment address
1510 Capitola Rd
Santa Cruz, CA 95062-2912

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2133625East Cliff Family Health Center1510 Capitola Road, Santa Cruz, CA 95062Provider-performed microscopyJul 16, 2027

National Provider Directory

National Provider Directory
Part of
Santa Cruz Community Health

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
Santa Cruz Community Health Centers Organization, Santa Cruz, CA Corporation, Non-profit Other Jan 1, 2022
William Leland Individual Corporate Director Jan 1, 2022
Other Jan 1, 2022 100%
Joyce Brown Individual Corporate DirectorDirector Jan 1, 2024 100%
Glenys Davidson Individual Corporate DirectorDirector Jan 1, 2024 100%
Andrew Goldenkranz Individual Corporate DirectorDirector Jan 1, 2024 100%
Bianca Crowbear Individual Corporate DirectorDirector Jan 1, 2024 100%
Anita Aguirre Individual Corporate OfficerCeo Jan 8, 2024 100%
W-2 Managing EmployeeCeo Jan 8, 2024 100%
Jorge Savala Individual Corporate Director Jan 1, 2022
Other Jan 1, 2022 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Santa Cruz Community Health CentersSanta Cruz, CA, CCN 551081 Federally qualified health center Other Jan 1, 2022
Santa Cruz Mountain Health Center 2Ben Lomond, CA, CCN A01197 Federally qualified health center Operational/Managerial Control Jan 1, 2023

Owned or controlled facilities with NPI records 2

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 59

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 59

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1952749541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950610542",
            "telephone_number": "831-427-3500",
            "fax_number": "831-426-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 CAPITOLA RD",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622912",
            "telephone_number": "831-427-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21507 E Cliff Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950624844",
            "country_code": "US",
            "telephone_number": "831-427-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANTA CRUZ COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA CRUZ COMMUNITY HEALTH CENTERS",
        "enumeration_date": "2013-06-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-427-3482",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Cliff Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "East Cliff Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.