WATSONVILLE EMERGENCY MEDICAL GROUP
NPI 1154571404
Emergency Medicine in Watsonville, CA

Active since September 23, 2008
75 NIELSON ST, EM DEPARTMENT, WATSONVILLE, CA 95076(831) 761-5613(405) 751-3183 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Emergency Medicine

About WATSONVILLE EMERGENCY MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Watsonville Emergency Medical Group, a provider established in Watsonville, California operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1154571404 assigned on September 2008. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Stanley V Hajduk Md (Cfo)

NPI
1154571404 Verify this NPI
Provider Name
WATSONVILLE EMERGENCY MEDICAL GROUP
Entity Type
Organization
Location Address
75 NIELSON ST EM DEPARTMENT WATSONVILLE, CA 95076
Location Phone
(831) 761-5613
Location Fax
(405) 751-3183
Mailing Address
4401 W MEMORIAL RD 121 OKLAHOMA CITY, OK 73134
Mailing Phone
(405) 751-4664
Mailing Fax
(405) 749-4561
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2008
Last Update Date
01-29-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STANLEY V HAJDUK MD

Authorized Official Title
CFO
Authorized Official Phone
(831) 763-0535

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AY828MEDICARE PIN (08)CA 
61420880OTHER (01)DEPT OF LABOR
1154571404MEDICAID (05)CA 
DO7379MEDICARE PIN (08)CA 
ZZZ55932YOTHER (01)CABLUE SHIELD

Reviews for WATSONVILLE EMERGENCY MEDICAL GROUP

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
75 NIELSON ST
WATSONVILLE, CA 95076
Pharmacist
75 NIELSON ST, OUTPATIENT PHARMACY
WATSONVILLE, CA 95076
Pharmacist
75 NIELSON ST
WATSONVILLE, CA 95076
Emergency Medicine
75 NIELSON ST
WATSONVILLE, CA 95076
Emergency Medicine
75 NIELSON ST, EM DEPT
WATSONVILLE, CA 95076
Pediatrics
75 NIELSON ST, WATSONVILLE COMMUNITY HOSPITAL
WATSONVILLE, CA 95076
Internal Medicine
75 NIELSON ST
WATSONVILLE, CA 95076
Emergency Medicine (Undersea and Hyperbaric Medicine)
75 NIELSON ST
WATSONVILLE, CA 95076
Emergency Medicine
75 NIELSON ST, EM DEPT
WATSONVILLE, CA 95076
Emergency Medicine
75 NIELSON ST, EM DEPT
WATSONVILLE, CA 95076
Physician Assistant
75 NIELSON ST, EM DEPT
WATSONVILLE, CA 95076
General Acute Care Hospital
75 NIELSON ST
WATSONVILLE, CA 95076
Emergency Medicine (Undersea and Hyperbaric Medicine)
75 NIELSON ST
WATSONVILLE, CA 95076
Emergency Medicine
75 NIELSON ST
WATSONVILLE, CA 95076
Anesthesiology
75 NIELSON ST
WATSONVILLE, CA 95076
Physician Assistant (Medical)
75 NIELSON ST, EM DEPT
WATSONVILLE, CA 95076
Pharmacist (Compounded Sterile Preparations)
75 NIELSON ST
WATSONVILLE, CA 95076
Physician Assistant
75 NIELSON ST
WATSONVILLE, CA 95076
General Acute Care Hospital
75 NIELSON ST
WATSONVILLE, CA 95076
Doula
75 NIELSON ST
WATSONVILLE, CA 95076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154571404, enumerated as an "organization" on September 23, 2008.

The provider is located at 75 NIELSON ST EM DEPARTMENT WATSONVILLE, CA 95076 and the phone number is (831) 761-5613.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.