THE PEDIATRI MEDICAL GROUP OF WATSONVILLE , INC
NPI 1164563862
Pediatrics in Freedom, CA

Active since February 08, 2007
222 GREEN VALLEY RD, FREEDOM, CA 95019(831) 728-2969(831) 722-9604 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Pediatri Medical Group Of Watsonville , Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE PEDIATRI MEDICAL GROUP OF WATSONVILLE , INC (NPI 1164563862) is a healthcare organization registered as a pediatrics in Freedom, California and active in the NPI registry since February 2007. The organization lists Jeffrey A Roisman, President, as its authorized official.

NPPES Registry Identity

NPI1164563862
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTHE PEDIATRI MEDICAL GROUP OF WATSONVILLE , INC
Location Address222 GREEN VALLEY RDFreedom, CA 95019-3136
Mailing Address222 Green Valley RdFreedom, CA 95019-3136 · (831) 728-2969 · Fax (831) 722-9604
Fax(831) 722-9604
Organization SubpartNo
Authorized OfficialJeffrey A RoismanPresident · (831) 728-2969
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1164563862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
222 GREEN VALLEY RD, Freedom, CA 95019

Other Identifiers 1

MedicaidGROO86290CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
222 GREEN VALLEY RD
FREEDOM, CA 95019
Pediatrics
222 GREEN VALLEY RD
FREEDOM, CA 95019
Pediatrics
222 GREEN VALLEY RD
FREEDOM, CA 95019
Pediatrics
222 GREEN VALLEY RD, PEDIATRIC MEDICAL GROUP OF WATSONVILLE
FREEDOM, CA 95019
Pediatrics
222 GREEN VALLEY RD
FREEDOM, CA 95019
Nurse Practitioner (Family)
222 GREEN VALLEY RD
FREEDOM, CA 95019
Pediatrics
222 GREEN VALLEY RD
FREEDOM, CA 95019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Pediatri Medical Group Of Watsonville , Inc's NPI number?

The NPI number for The Pediatri Medical Group Of Watsonville , Inc is 1164563862. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is The Pediatri Medical Group Of Watsonville , Inc located?

The Pediatri Medical Group Of Watsonville , Inc is located at 222 Green Valley Rd, Freedom, CA 95019. The listed phone number is (831) 728-2969.

What is The Pediatri Medical Group Of Watsonville , Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for The Pediatri Medical Group Of Watsonville , Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.