JANUS OF SANTA CRUZ NPI 1730213794

NPI Information

  • NPI: 1730213794
  • Provider Name: JANUS OF SANTA CRUZ
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Doing Business As: COMMUNITY CLINIC NORTH
  • Address: 1000A & 1010C EMELINE AVE
    SANTA CRUZ, CA
    ZIP 95060
  • Phone: (831) 425-0112

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NPI Details

JANUS OF SANTA CRUZ is a methadone clinic center in Santa Cruz, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. JANUS OF SANTA CRUZ NPI is 1730213794. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Clinic North.

The provider's business location address is:

1000A & 1010C EMELINE AVE
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 425-0112
Fax: (831) 425-1847

The provider's authorized official is Amber Williams .
The authorized official title is Chief Executive Officer and has the following contact phone number (831) 278-7906.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
  • Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure (HCPCS:G2080)
  • Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure (HCPCS:G2078)
  • Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for (HCPCS:G2077)

The enumeration date for this NPI number is 3/14/2007 and was last updated on 3/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthNo
2261QM2800XClinic/CenterMethadone4405CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
144-05OTHERCALIFORNIADHCS
244ABMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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