Organization
COUNTY OF SANTA CRUZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE MORENO-PERAZA (HEALTH SERVICES AGENCY DIRECTOR)
(831) 454-4000
Entity
Organization
Contact information
Practice address
1080 EMELINE AVE, SANTA CRUZ, CA 95060-1966
(831) 454-4000
(831) 454-4663
Mailing address
PO BOX 1439, SANTA CRUZ, CA 95061-1439
(831) 454-4170
(831) 454-4663
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261Q00000X
Clinic/Center
Primary
—
CA
261QF0400X
Federally Qualified Health Center (FQHC)
—
CA
261QM0850X
Adult Mental Health Clinic/Center
—
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70042F
—
CA
05
—
FHC70044F
—
CA
Enumeration date
06/15/2006
Last updated
02/10/2026
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