PAJARO VALLEY HEALTH CARE DISTRICT
NPI 1285346809
Internal Medicine - Cardiovascular Disease in Watsonville, CA
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 05D0605634
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About PAJARO VALLEY HEALTH CARE DISTRICT
This page provides the complete NPI Profile along with additional information for Pajaro Valley Health Care District, an internist established in Watsonville, California operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1285346809 assigned on December 2022. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated one year ago. Pajaro Valley Health Care District operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lupe Mendoza (Director)
- NPI
- 1285346809 Verify this NPI
- Provider Name
- PAJARO VALLEY HEALTH CARE DISTRICT
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 65 NIELSON ST STE 102 WATSONVILLE, CA 95076
- Location Phone
- (831) 768-6217
- Location Fax
- (831) 768-6219
- Mailing Address
- 65 NIELSON ST STE 102 WATSONVILLE, CA 95076
- Mailing Phone
- (831) 768-6217
- Mailing Fax
- (831) 768-6219
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-14-2022
- Last Update Date
- 02-12-2025
- Code Navigator
An internist like Pajaro Valley Health Care District is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 99 Airport Blvd
Freedom, CA 95019
(831) 724-7521 - 1820 Main St
Watsonville, CA 95076
(831) 728-4227 - 65 Nielson St Ste 125
Watsonville, CA 95076
(831) 768-6466
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
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RH0002X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 8 | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 9 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 10 | 208800000X | Allopathic & Osteopathic Physicians | Urology | |
| 11 | 213EP1101X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0605634
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- PETER BRETAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Pajaro Valley Health Care District in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285346809, enumerated as an "organization" on December 14, 2022.
The provider is located at 65 NIELSON ST STE 102 WATSONVILLE, CA 95076 and the phone number is (831) 768-6217.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
