Organization
SALUD PARA LA GENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BALISTRERI (CFO)
(831) 728-8250
Entity
Organization
Contact information
Practice address
204 EAST BEACH STREET, WATSONVILLE, CA 95076
(831) 728-0222
(831) 728-8266
Mailing address
PO BOX 1870, WATSONVILLE, CA 95077-1870
(831) 728-8250
(831) 728-8266
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
070000162
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70246F
MEDICAL STATE BREAST CANC
CA
01
—
EAP70246F
MEDICAL EAPC STATE PROGRA
CA
05
—
FHC70246F
—
CA
01
—
HAP70246F
MEDICAL FAMILY PACK HEALT
CA
01
—
ZZZ97418Z
BLUE CROSS BLUE SHIELD
CA
Enumeration date
01/17/2006
Last updated
02/03/2020
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