Pacific Ketamine and Wellness, a Professional Nursing Corporation
NPI 1629882956 · Mental Health Clinic/Center (Including Community Mental Health Center) · Santa Cruz, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Ketamine and Wellness, a Professional Nursing Corporation is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Santa Cruz, CA (NPI 1629882956).
Provider details
- NPI number
- 1629882956
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jaime Jimenez, Owner/Nurse Practitioner(831) 824-4003
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-02-06
- Last updated
- 2025-06-27
- Certified
- 2025-06-27
Frequently asked questions
- What is Pacific Ketamine and Wellness, a Professional Nursing Corporation's NPI number?
- Pacific Ketamine and Wellness, a Professional Nursing Corporation's National Provider Identifier (NPI) is 1629882956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Ketamine and Wellness, a Professional Nursing Corporation?
- Pacific Ketamine and Wellness, a Professional Nursing Corporation is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Pacific Ketamine and Wellness, a Professional Nursing Corporation located?
- Pacific Ketamine and Wellness, a Professional Nursing Corporation's practice location on file with NPPES is 412 Cedar St Ste C2, Santa Cruz, CA 95060-4369.
- What is Pacific Ketamine and Wellness, a Professional Nursing Corporation's phone number?
- The practice phone number listed in the NPPES registry for Pacific Ketamine and Wellness, a Professional Nursing Corporation is (831) 824-4003.
- Does Pacific Ketamine and Wellness, a Professional Nursing Corporation accept Medicare?
- Pacific Ketamine and Wellness, a Professional Nursing Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pacific Ketamine and Wellness, a Professional Nursing Corporation?
- The authorized official listed on Pacific Ketamine and Wellness, a Professional Nursing Corporation's NPPES record is Jaime Jimenez, Owner/Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Ketamine and Wellness, a Professional Nursing Corporation's NPI active?
- Yes — Pacific Ketamine and Wellness, a Professional Nursing Corporation's NPI (1629882956) is active in the NPPES registry as of the last update on 2025-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.