Fee-For-Service-Mixed Specialty Group in Santa Cruz - Adult Mental Health
Fee-For-Service-Mixed Specialty Group - NPI 1366640831
Fee-For-Service-Mixed Specialty Group is a Adult Mental Health in Santa Cruz, California. Fee-For-Service-Mixed Specialty Group practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Fee-For-Service-Mixed Specialty Group is 1366640831. The last update date is 2008-03-04.
Fee-For-Service-Mixed Specialty Group's current location address is 1400 Emeline Ave, Santa Cruz, California. You can contact this provider via phone number 8314544170 and fax number 8314544663. The mailing address for Fee-For-Service-Mixed Specialty Group is 1400 Emeline Ave, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fee-For-Service-Mixed Specialty Group |
|---|---|
| Address | 1400 Emeline Ave, Santa Cruz, California |
| Phone Number | 8314544170 |
| Fax Number | 8314544663 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HEALTH SER |
|---|---|
| Authorized Official Name | Khalsa Rama |
| Credentials | PH.D. |
| Telephone Number | 8314544000 |
NPI Number Detail
| NPI Number | 1366640831 |
|---|---|
| Provider Enumeration Date | 2007-07-06 |
| Last Updated Date | 2008-03-04 |
Provider Mailing Address Detail
| Address | 1400 Emeline Ave |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 950601976 |
| Phone Number | 8314544170 |
| Fax Number | 8314544663 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1659315430 | CA | LEGAL ENTITY NPI# | |
| 44BB | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Fee-For-Service-Mixed Specialty Group by the Centers for Medicare & Medicaid Services?
The Fee-For-Service-Mixed Specialty Group has been assigned the NPI (National Provider Identifier) 1366640831 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Fee-For-Service-Mixed Specialty Group's physical address?
The Fee-For-Service-Mixed Specialty Group is physically located at 1400 Emeline Ave, in the city of Santa Cruz, CA, with the postal code 950601976.
What is the Fee-For-Service-Mixed Specialty Group's specialty and taxonomy code?
The Fee-For-Service-Mixed Specialty Group's specialty is Adult Mental Health, and the corresponding taxonomy code is 261Qm0850X.
On what date did Fee-For-Service-Mixed Specialty Group receive its 1366640831 assignment from the Centers for Medicare & Medicaid Services?
The Fee-For-Service-Mixed Specialty Group was assigned its 1366640831 on 2007-07-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Fee-For-Service-Mixed Specialty Group's details last updated?
The information pertaining to the Fee-For-Service-Mixed Specialty Group, including its address, specialty, and other details, was most recently updated on 2008-03-04.