NPIMap

Organization Active NPI

Puentes Al Sur

  • Adult Mental Health Clinic/Center
  • Watsonville, CA
National Provider Identifier
1992849012
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PUENTES AL SUR
Practice address
9 Crestview Dr
Watsonville, CA 95076-2723
Phone
(831) 454-5179
Fax
(831) 454-4663
NPI assigned
Feb 20, 2007
Organization subpart
Yes
Parent organization
COUNTY OF SANTA CRUZAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Rama Khalsa, PH.D.
Title
Health Services Agency Director
Phone
(831) 454-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X CA Primary

Addresses

Primary practice location

9 Crestview Dr
Watsonville, CA 95076-2723

Mailing address

1400 Emeline Ave
Santa Cruz, CA 95060-1976
Phone (831) 454-4170

Other identifiers 2

IdentifierTypeStateIssuer
44CLMedicaidCA
1659315430OtherCALEGAL ENTITY NPI#

Other names 1

  • Health Services Agency-Mental Health Division Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Puentes Al Sur24 organizations share this tax ID, including this one
Part of
Puentes Al Sur

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Practitioners & affiliated clinicians

Practitioners 118

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

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1992849012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EMELINE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601976",
            "telephone_number": "831-454-4170",
            "fax_number": "831-454-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CRESTVIEW DR",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762723",
            "telephone_number": "831-454-5179",
            "fax_number": "831-454-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUENTES AL SUR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SANTA CRUZ",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "KHALSA",
        "authorized_official_first_name": "RAMA",
        "authorized_official_title_or_position": "HEALTH SERVICES AGENCY DIRECTOR",
        "authorized_official_telephone_number": "831-454-4000",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44CL",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGAL ENTITY NPI#",
            "identifier": "1659315430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Services Agency-Mental Health Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.