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: August 09, 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
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 · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedPodiatrist · Primary Podiatric MedicineTaxonomy 213EP1101X
65 NIELSON ST STE 102, Watsonville, CA 95076

Other Names 1

Doing Business AsCoastal Healthcare

Secondary Practice Locations 3

Location 165 Nielson St Ste 125Watsonville, CA 95076-2491 · Phone (831) 768-6466
Location 21820 Main StWatsonville, CA 95076-3092 · Phone (831) 728-4227
Location 399 Airport BlvdFreedom, CA 95019-2917 · Phone (831) 724-7521

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

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 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.

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

Pajaro Valley Health Care District Dba Coastal Healthcare · Watsonville, CA
Active · expires Aug 31, 2026
CLIA Number05D0605634
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
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.

Other Providers at the Same Location NPPES

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

Internal Medicine (Nephrology)
65 NIELSON ST STE 102
WATSONVILLE, CA 95076

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.

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 18 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.