Covered Entity Details

CH09116S SALUD PARA LA GENTE (Active) - information as of 4/28/2025 1:50:04 AM

Main Details

Name

SALUD PARA LA GENTE

Subdivision Name

Salud Mobile

Type

HRSA-Funded Health Center

Site ID

BPS-H80-032133

340B ID

CH09116S

Grant Number

H80CS00226

Additional Details

Current Program Status

Active

Registration Date

7/7/2021

Participating Start Date

10/1/2021

Participating Approval Date

7/13/2021

Last Recertification Date

2/20/2025

Contacts

Authorizing Official

Salud Para La Gente
Donna Young, Chief Executive Officer
(831) 728-8250 Ext: 5302

Primary Contact

Salud Para La Gente
Amy Hsiung, Interim Chief Compliance Officer
(831) 728-8250 Ext: 2149

Addresses

Street Address

45 Neilson St
Watsonville, CA 95076-2468

Billing Address

Salud Para La Gente
PO Box 1870
Watsonville, CA 95077-1870

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
CA	1629269618	1629269618

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CH091160	Active	BPS-H80-001443	SALUD PARA LA GENTE	SALUD PARA LA GENTE, INC.	204 E Beach St	Watsonville	CA
CH09116A	Active	BPS-H80-003594	SALUD PARA LA GENTE	CLINICA DEL VALLE DEL PAJARO	45 Nielson St	Watsonville	CA
CH09116B	Terminated	BPS-H80-001541	SALUD PARA LA GENTE	BEACH FLATS HEALTH CENTER	302 Riverside Ave	Santa Cruz	CA
CH09116C	Terminated	BPS-H80-013485	SALUD PARA LA GENTE	Seaside Community Health Center (SCHC)	1130 Fremont Blvd STE 210B	Seaside	CA
CH09116D	Active	BPS-H80-011091	SALUD PARA LA GENTE	PV High School	500 Harkins Slough RD, Room B110C	Watsonville	CA
CH09116E	Active	BPS-H80-011090	SALUD PARA LA GENTE	Pajaro Resource Center	250 Salinas Road, Suite 4A	Watsonville	CA
CH09116F	Terminated	BPS-H80-009368	SALUD PARA LA GENTE	Mintie White Elementary Health Center	515 Palm Ave	Watsonville	CA
CH09116G	Terminated	BPS-H80-009366	SALUD PARA LA GENTE	Macquiddy Elementary Health Center	330 Martinelli St.	Watsonville	CA
CH09116H	Terminated	BPS-H80-006046	SALUD PARA LA GENTE	GREEN VALLEY CLINIC	280 GREEN VALLEY	WATSONVILLE	CA
CH09116J	Active	BPS-H80-003998	SALUD PARA LA GENTE	CESAR CHAVEZ SBHC	440 Arthur Rd, Room A	Watsonville	CA
CH09116K	Active	BPS-H80-017048	SALUD PARA LA GENTE	Salud at Valle Verde	252 Green Valley Road	Freedom	CA
CH09116L	Active	BPS-H80-018050	SALUD PARA LA GENTE	Salud at 208 Green Valley	208 Green Valley Road	Freedom	CA
CH09116M	Terminated	BPS-H80-011288	SALUD PARA LA GENTE	Dental Mobile Clinic	1440 Del Monte Avenue	Salinas	CA
CH09116N	Active	BPS-H80-018049	SALUD PARA LA GENTE	Salud at 65 Nielson	65 Nielson St Ste 101	Watsonville	CA
CH09116P	Terminated	BPS-H80-009427	SALUD PARA LA GENTE	Starlight Elementary Health Center	225 Hammer Dr, Room C31	Watsonville	CA
CH09116Q	Terminated	BPS-H80-017496	SALUD PARA LA GENTE	North Monterey County High School (NMCHS)	13990 Castroville Boulevard	Castroville	CA
CH09116R	Active	BPS-H80-030034	SALUD PARA LA GENTE	Pajaro Valley Mobile	45 Neilson St	Watsonville	CA
CH09116S	Active	BPS-H80-032133	SALUD PARA LA GENTE	Salud Mobile	45 Neilson St	Watsonville	CA
CH09116T	Terminated	BPS-H80-031944	SALUD PARA LA GENTE	Salud at 112 East Beach	112 E Beach St	Watsonville	CA
CH09116U	Active	BPS-H80-034252	SALUD PARA LA GENTE	Salud at 64 Aspen Way	64 Aspen Way	Watsonville	CA
CH09116V	Active	BPS-H80-034945	SALUD PARA LA GENTE	South County Mobile	45 Neilson St	Watsonville	CA
CH09116W	Active	BPS-H80-038883	SALUD PARA LA GENTE	Salud at 150 Carnation	150 Carnation Dr, Ste 2	Freedom	CA

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CH091160	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 17423	1405 W PACHECO BLVD	LOS BANOS	CA	93635	01/01/2022
CH091160	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 16507	1415 MAIN ST	WATSONVILLE	CA	95076	01/01/2022
CH091160	GARFIELD BEACH CVS, L.L.C.	CVS PHARMACY # 17641	1825 41ST AVE	CAPITOLA	CA	95010	01/01/2022
CH091160	HORSNYDER PHARMACY		1226-A SOQUEL AVE	SANTA CRUZ	CA	95062	04/01/2013	10/12/2015
CH09116A	HORSNYDER PHARMACY		1226-A SOQUEL AVE	SANTA CRUZ	CA	95062	04/01/2013	10/12/2015
CH09116B	HORSNYDER PHARMACY		1226-A SOQUEL AVE	SANTA CRUZ	CA	95062	04/01/2013	10/12/2015
CH091160	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09349	347 E ALISAL ST	SALINAS	CA	93901	01/01/2022
CH091160	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09186	110 E LAUREL DR	SALINAS	CA	93906	01/01/2022
CH091160	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09506	1140 S MAIN ST	SALINAS	CA	93901	01/01/2022
CH091160	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09796	490 RODRIGUEZ ST	WATSONVILLE	CA	95076	01/01/2022
CH091160	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03952	783 RIO DEL MAR BLVD STE 3	APTOS	CA	95003	01/01/2022
CH091160	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09960	809 BAY AVE	CAPITOLA	CA	95010	01/01/2022
CH091160	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09802	2170 FREMONT ST	MONTEREY	CA	93940	01/01/2022
CH091160	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09862	257 MOUNT HERMON RD	SCOTTS VALLEY	CA	95066	01/01/2022
CH091160	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03039	1966 MAIN ST	WATSONVILLE	CA	95076	01/01/2022
CH091160	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 09951	8063 SAN MIGUEL CANYON RD	SALINAS	CA	93907	01/01/2022	01/22/2025
CH091160	LONGS DRUG STORES CALIFORNIA, L.L.C.	DBA: CVS/PHARMACY # 03051	17579 VIERRA CANYON RD	SALINAS	CA	93907	07/01/2025
CH091160	SAFEWAY INC	SAFEWAY PHARMACY #1929	2720 41ST AVE	SOQUEL	CA	95073	05/11/2012	10/12/2015
CH091160	SAFEWAY INC	SAFEWAY PHARMACY #2841	815 CANYON DEL REY	DEL REY OAKS	CA	93940	10/22/2012	10/12/2015
CH09116A	SAFEWAY INC	SAFEWAY PHARMACY #1929	2720 41ST AVE	SOQUEL	CA	95073	05/11/2012	10/12/2015
CH09116A	SAFEWAY INC	SAFEWAY PHARMACY #2841	815 CANYON DEL REY	DEL REY OAKS	CA	93940	10/22/2012	10/12/2015
CH09116B	SAFEWAY INC	SAFEWAY PHARMACY #2841	815 CANYON DEL REY	DEL REY OAKS	CA	93940	10/22/2012	10/12/2015
CH091160	WALGREEN CO.	DBA: WALGREENS # 02810	1810 FREEDOM BLVD	FREEDOM	CA	95019	04/01/2014
CH091160	WALGREEN CO.	DBA: WALGREENS # 02867	1055 FREMONT BLVD	SEASIDE	CA	93955	04/01/2014
CH091160	WALGREEN CO.	DBA: WALGREENS # 03158	1718 SOQUEL AVENUE	SANTA CRUZ	CA	95062	04/01/2014	12/18/2020
CH091160	WALGREEN CO.	DBA: WALGREENS # 04997	226 RESERVATION RD.	MARINA	CA	93933	04/01/2014
CH091160	WALGREEN CO.	DBA: WALGREENS #15108	201 FRONT ST.	SANTA CRUZ	CA	95060	04/01/2014	01/15/2021
CH091160	WALGREEN CO.	DBA: WALGREENS # 02606	1532 N MAIN ST	SALINAS	CA	93906	04/01/2017
CH091160	WALGREEN CO.	DBA: WALGREENS # 03446	575 N SANBORN RD	SALINAS	CA	93905	04/01/2017
CH091160	WALGREEN CO.	DBA: WALGREENS # 03158	1718 SOQUEL AVENUE	SANTA CRUZ	CA	95062	04/01/2021
CH091160	WALGREEN CO.	DBA: WALGREENS # 06214	210 MT HERMON RD	SCOTTS VALLEY	CA	95066	01/01/2022
CH091160	WALGREEN CO.	WALGREENS #15433	600 TRES PINOS RD	HOLLISTER	CA	95023	01/01/2022
CH091160	WALGREEN CO.	DBA: WALGREENS # 07081	416 ALVARADO ST	MONTEREY	CA	93940	01/01/2022
CH091160	WALGREENS MAIL SERVICE, INC.	8350 S RIVER PARKWAY		TEMPE	AZ	85284	04/01/2014	07/07/2015
CH091160	WATSONVILLE PHARMACY	1433 FREEDOM BLVD		WATSONVILLE	CA	95076	06/08/2012	10/12/2015
CH09116A	WATSONVILLE PHARMACY	1433 FREEDOM BLVD		WATSONVILLE	CA	95076	06/08/2012	10/12/2015
CH091160	WESTSIDE PHARMACY	1401 MISSION ST		SANTA CRUZ	CA	95060-4738	05/07/2012	10/12/2015
CH09116A	WESTSIDE PHARMACY	1401 MISSION ST		SANTA CRUZ	CA	95060-4738	05/07/2012	10/12/2015

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/1/2024 5:14:23 PM	2/20/2025 6:55:49 PM	2/20/2025 6:55 PM
Contacts	Primary Contact	Update	PC Change Request	Aguirre, Anita Deputy Director/ Chief Compliance Officer Salud Para La Gente 8317288250-3031	Hsiung, Amy Interim Chief Compliance Officer Salud Para La Gente 8317288250-2149	2/1/2024 5:51 PM
Details	Last Recertification Date	Update	Recertification	2/21/2023 9:09:16 PM	2/1/2024 5:14:23 PM	2/1/2024 5:14 PM
Contacts	Authorizing Official	Update	Change Request	Rose Inda, Dori CEO Salud Para La Gente 8317288250-1006	Young, Donna Chief Executive Officer Salud Para La Gente 8317288250-5302	9/5/2023 10:13 AM
Details	Last Recertification Date	Update	Recertification	2/14/2022 4:04:29 PM	2/21/2023 9:09:16 PM	2/21/2023 9:09 PM
Details	Last Recertification Date	Update	Recertification		2/14/2022 4:04:29 PM	2/14/2022 4:04 PM
Details	State	Update		Approved	Active	10/1/2021 12:01 AM
Contacts	Signed By	Insert	New Registration		Rose Inda, Dori CEO Salud Para La Gente 8317288250-1006	7/13/2021 2:09 PM
Details	340B ID	Update	New Registration		CH09116S	7/13/2021 2:09 PM
Dates	Participating Approval Date	Update	New Registration		7/13/2021 2:09:35 PM	7/13/2021 2:09 PM
Details	State	Update	New Registration	Pending	Approved	7/13/2021 2:09 PM
Dates	Signed By Date	Update	New Registration		7/8/2021 8:21:34 PM	7/13/2021 2:09 PM
Dates	Start Date	Update	New Registration		10/1/2021 12:00:00 AM	7/13/2021 2:09 PM
Contacts	Authorizing Official	Update	Profile Change Request	Inda, Dori Rose CEO Salud Para La Gente 8317288250-1006	Rose Inda, Dori CEO Salud Para La Gente 8317288250-1006	7/13/2021 6:47 AM
Addresses	Main Address	Insert	New Registration		45 Neilson St Watsonville, CA 95076-2468	7/7/2021 12:39 PM
Addresses	Billing Address	Insert	New Registration		Salud Para La Gente PO Box 1870 Watsonville, CA 95077-1870	7/7/2021 12:39 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/7/2021 12:39 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		1629269618	7/7/2021 12:39 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		CA	7/7/2021 12:39 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1629269618	7/7/2021 12:39 PM
Medicaid Billing	NPI: State	Insert	New Registration		CA	7/7/2021 12:39 PM
Contacts	Primary Contact	Insert	New Registration		Aguirre, Anita Deputy Director/ Chief Compliance Officer Salud Para La Gente 8317288250-3031	7/7/2021 12:39 PM
Contacts	Authorizing Official	Insert	New Registration		Inda, Dori Rose CEO Salud Para La Gente 8317288250-1006	7/7/2021 12:39 PM
Details	Assistance Received From Date	Insert	New Registration			7/7/2021 12:39 PM
Details	Assistance Received To Date	Insert	New Registration			7/7/2021 12:39 PM
Details	Last Recertification Date	Insert	New Registration			7/7/2021 12:39 PM
Details	Grant Number	Insert	New Registration		H80CS00226	7/7/2021 12:39 PM
Details	340B ID	Insert	New Registration			7/7/2021 12:39 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/7/2021 12:39 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/7/2021 12:39 PM
Details	Medicare Provider Number	Insert	New Registration			7/7/2021 12:39 PM
Details	Entity Name	Insert	New Registration		SALUD PARA LA GENTE	7/7/2021 12:39 PM
Details	NOFO Number	Insert	New Registration			7/7/2021 12:39 PM
Details	Program Code	Insert	New Registration		CH	7/7/2021 12:39 PM
Details	Entity Subname	Insert	New Registration		Salud Mobile	7/7/2021 12:39 PM
Dates	Participating Approval Date	Insert	New Registration			7/7/2021 12:39 PM
Details	State	Insert	New Registration		Pending	7/7/2021 12:39 PM
Dates	Registration Date	Insert	New Registration		7/7/2021 12:39:41 PM	7/7/2021 12:39 PM
Dates	Signed By Date	Insert	New Registration			7/7/2021 12:39 PM
Dates	Start Date	Insert	New Registration			7/7/2021 12:39 PM
Terminations	Termination Comments	Insert	New Registration			7/7/2021 12:39 PM
Terminations	Termination Date	Insert	New Registration			7/7/2021 12:39 PM
Terminations	Termination Effective Date	Insert	New Registration			7/7/2021 12:39 PM
Terminations	Termination Reason	Insert	New Registration			7/7/2021 12:39 PM

340B Drug Pricing Program Database