PAJARO VALLEY PREVENTION & STUDENT ASSISTANCE PROGRAM, INC. (NPI# 1447586995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447586995 |
| Entity Type | Organization |
| Organization Name | PAJARO VALLEY PREVENTION & STUDENT ASSISTANCE PROGRAM, INC. |
| Practice Address |
250 E Beach St Watsonville CA 95076-4831 |
| Mailing Address |
335 E Lake Ave Watsonville CA 95076-4826 |
| Practice Telephone | 8317286445 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2011-02-11 |
| Authorized Official Name | SILVIA DIAZ (CFO) |
| Authorized Official Telephone | 8317286445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174859623 | Pajaro Valley Prevention & Student Assistance Program, Inc. | Counselor | 440 Arthur Rd, Watsonville, CA 95076-3701 | 2009-10-19 |
| 1538495080 | Pajaro Valley Prevention & Student Assistance Program, Inc. | Counselor | 1001 Huntington Dr, Aptos, CA 95003-4104 | 2009-10-19 |
| 1629304175 | Pajaro Valley Prevention & Student Assistance Program, Inc. | Counselor | 500 Harkins Slough Rd, Watsonville, CA 95076-9453 | 2009-10-19 |
| 1306171467 | Pajaro Valley Prevention & Student Assistance Program, Inc. | Counselor | 100 Mariner Way, Aptos, CA 95003-9641 | 2009-10-07 |
| Street Address |
250 E BEACH ST |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-4831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780218859 | Elizabeth Thorne | Registered Nurse | 250 E Beach St, Watsonville, CA 95076-4831 | 2020-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234720 | Gilbert David Bao | Counselor | 284 Pennsylvania Dr Ste 1&2, Watsonville, CA 95076-3768 | 2020-01-21 |
| 1457999435 | Amanda Carranco | Counselor | 284 Pennsylvania Dr Ste 1, Watsonville, CA 95076-3768 | 2019-12-20 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1912353558 | Tiana Taylor | Counselor | 45 Stillbreeze Ln Apt C, Watsonville, CA 95076-4152 | 2016-05-12 |
| 1205205978 | Timothy E Sinnott | Counselor | 119 Crespi Cir, Watsonville, CA 95076-3255 | 2015-09-23 |
| 1174859623 | Pajaro Valley Prevention & Student Assistance Program, Inc. | Counselor | 440 Arthur Rd, Watsonville, CA 95076-3701 | 2009-10-19 |
| 1629304175 | Pajaro Valley Prevention & Student Assistance Program, Inc. | Counselor | 500 Harkins Slough Rd, Watsonville, CA 95076-9453 | 2009-10-19 |
| 1164678496 | Rose George | Counselor | 18 Alexander St, Watsonville, CA 95076-4609 | 2008-08-18 |
| 1609040898 | Andres Galvan | Counselor | 284 Pennsylvania Ave, Watsonville, CA 95076-3768 | 2008-04-17 |
| 1962685123 | Robert R Jaurigue | Counselor | 241 E. Lake Ave, Watsonville, CA 95076 | 2007-12-11 |
| Find all providers in WATSONVILLE | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
Please comment or provide details below to improve the information on PAJARO VALLEY PREVENTION & STUDENT ASSISTANCE PROGRAM, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.