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PAJARO VALLEY HEALTH CARE DISTRICT
NPI 1285346809
Internal Medicine - Cardiovascular Disease in Watsonville, CA

Active since December 14, 2022CLIA Certified · 3 labs
65 NIELSON ST STE 102, WATSONVILLE, CA 95076(831) 768-6217(831) 768-6219 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 12, 2025, Dec 14, 2022 (2 updates tracked since 2022).

About Pajaro Valley Health Care District NPPES

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

PAJARO VALLEY HEALTH CARE DISTRICT (NPI 1285346809), doing business as Coastal Healthcare, is a healthcare organization registered as a cardiovascular disease in Watsonville, California and active in the NPI registry since December 2022. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Lupe Mendoza, Director, as its authorized official.

NPPES Registry Identity

NPI1285346809
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePAJARO VALLEY HEALTH CARE DISTRICT
Location Address65 NIELSON ST STE 102Watsonville, CA 95076-2491
Mailing Address65 Nielson St Ste 102Watsonville, CA 95076-2491 · (831) 768-6217 · Fax (831) 768-6219
Phone(831) 768-6217
Fax(831) 768-6219
Organization SubpartNo
Authorized OfficialLupe MendozaDirector · (831) 768-6292
Enumeration DateDecember 14, 2022
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1285346809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X
65 NIELSON ST STE 102, Watsonville, CA 95076
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Other Names 1

Doing Business AsCoastal Healthcare

Secondary Practice Locations 3

Location 199 Airport BlvdFreedom, CA 95019-2917 · Phone (831) 724-7521
Location 265 Nielson St Ste 125Watsonville, CA 95076-2491 · Phone (831) 768-6466
Location 31820 Main StWatsonville, CA 95076-3092 · Phone (831) 728-4227

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pajaro Valley Health Care District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Pajaro Valley Health Care District, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

Internal Medicine5
General Surgery3
Pulmonary Disease2
Urology2
Gastroenterology1
Nurse Practitioner1
Orthopedic Surgery1
Podiatry1

Clinicians, nearest first (16)

Robert Allen, M.D.
General Surgery
NPI 1730610403
65 NIELSON ST STE 125
Watsonville, CA 95076
(831) 768-6266
✔ PECOS✔ Accepts MedicareSame address
Rajeev Prasad, M.D.
Internal Medicine
NPI 1275548943
65 NIELSON ST STE 102
Watsonville, CA 95076
(831) 768-6217
✔ PECOS✔ Accepts MedicareSame address
Omid Bakhtar, D.O.
Internal Medicine
NPI 1194953901
65 NEILSON ST STE 102
Watsonville, CA 95076
(831) 768-6217
✔ PECOS✔ Accepts Medicare0.1 mi
Stanley Hwang, MD
Internal Medicine
NPI 1780654525
65 NEILSON ST STE 102
Watsonville, CA 95076
(831) 768-6217
✔ PECOS✔ Accepts Medicare0.1 mi
Ryan Nolan, M.D.
General Surgery
NPI 1265832950
65 NEILSON ST STE 125
Watsonville, CA 95076
(831) 768-6266
✔ PECOS✔ Accepts Medicare0.1 mi
Yuxi Guan
Podiatry
NPI 1124656137
1820 MAIN ST
Watsonville, CA 95076
(831) 728-4227
✔ PECOS✔ Accepts Medicare0.9 mi
Jennifer Etcheson, MD, MS
Orthopedic Surgery
NPI 1225599731
1820 MAIN ST
Watsonville, CA 95076
(831) 728-4227
✔ PECOS✔ Accepts Medicare1.0 mi
Shannon Clasen, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1891073425
99 AIRPORT BLVD
Freedom, CA 95019
(831) 724-7521
✔ PECOS✔ Accepts Medicare1.2 mi
Frank Ravago, MD
Internal Medicine
NPI 1447233622
99 AIRPORT BLVD
Freedom, CA 95019
(831) 724-7521
✔ PECOS✔ Accepts Medicare1.2 mi
Philip Knorr, M.D.
Urology
NPI 1801981485
160 GREEN VALLEY RD SUITE 203
Freedom, CA 95019
(831) 728-4227
✔ PECOS✔ Accepts Medicare1.4 mi
Chad Medawar, D.O.
Pulmonary Disease
NPI 1962662700
1441 CONSTITUTION BLVD
Salinas, CA 93906
(831) 755-4376
✔ PECOS✔ Accepts Medicare18 mi
Peter Bretan, M.D.
Urology
NPI 1639177934
355 ABBOTT ST # 201
Salinas, CA 93901
(831) 422-4500
✔ PECOS✔ Accepts Medicare20 mi
Minh Le, MD
Pulmonary Disease
NPI 1508252180
1033 LOS PALOS DR STE A
Salinas, CA 93901
(831) 757-2058
✔ PECOS✔ Accepts Medicare20 mi
Janet Nagamine, MD
Internal Medicine
NPI 1982781837
900 KIELY BLVD
Santa Clara, CA 95051
(408) 236-6400
✔ PECOS✔ Accepts Medicare30 mi
Luke Bi, MD
Gastroenterology
NPI 1700964202
3200 KEARNEY STREET
Fremont, CA 94538
(510) 490-1222
✔ PECOS✔ Accepts Medicare44 mi
Kuong Ngann, DO
General Surgery
NPI 1376839167
CORNER OF ROUTE N12 AND N7
Fort Defiance, AZ 86504
(928) 729-8000
✔ PECOS✔ Accepts Medicare714 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0605634

Pajaro Valley Health Care District Dba Coastal Healthcare · Watsonville, CA
Active · expires Aug 31, 2028
CLIA Number05D0605634
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorPeter Bretan
Laboratory Phone(831) 768-6292
Laboratory LocationPajaro Valley Health Care District Dba Coastal Healthcare1820 Main St, Watsonville, CA 95076
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D2012027

Pajaro Valley Health Care District Dba Coastal Healthcare · Freedom, CA
Active · expires Jul 15, 2027
CLIA Number05D2012027
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorFrank L. Ravago, MD
Laboratory Phone(831) 768-6292
Laboratory LocationPajaro Valley Health Care District Dba Coastal Healthcare99 Airport Blvd, Freedom, CA 95019
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2091724

Pajaro Valley Health Care District Dba Coastal Healthcare · Watsonville, CA
Active · expires May 29, 2027
CLIA Number05D2091724
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorOmid Bakhtar
Laboratory Phone(831) 768-6292
Laboratory LocationPajaro Valley Health Care District Dba Coastal Healthcare65 Nielson St, Ste 102, Watsonville, CA 95076
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Pajaro Valley Health Care District's NPI number?

The NPI number for Pajaro Valley Health Care District is 1285346809. It was assigned to this organization in the NPPES registry on December 14, 2022. The provider is doing business as Coastal Healthcare.

Where is Pajaro Valley Health Care District located?

Pajaro Valley Health Care District is located at 65 Nielson St Ste 102, Watsonville, CA 95076. The listed phone number is (831) 768-6217.

What is Pajaro Valley Health Care District's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Pajaro Valley Health Care District enrolled in Medicare?

Yes. Pajaro Valley Health Care District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pajaro Valley Health Care District?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 8 Medicare specialties reassign their Medicare billing to Pajaro Valley Health Care District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (5), General Surgery (3) and Pulmonary Disease (2). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pajaro Valley Health Care District hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pajaro Valley Health Care District was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.