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PAJARO VALLEY MEDICAL CLINIC, INC.
NPI 1679509798
Family Medicine - Geriatric Medicine in Watsonville, CA

Active since June 23, 2006CLIA 05D1055254 · Microscopy
65 NIELSON ST, STE 104, WATSONVILLE, CA 95076(831) 786-8595(831) 786-8557 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pajaro Valley Medical Clinic, Inc. NPPES

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

PAJARO VALLEY MEDICAL CLINIC, INC. (NPI 1679509798) is a healthcare organization registered as a geriatric medicine in Watsonville, California and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through June 12, 2028 and lists Christopher John O'grady, Physician / Owner, as its authorized official.

NPPES Registry Identity

NPI1679509798
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NamePAJARO VALLEY MEDICAL CLINIC, INC.
Location Address65 NIELSON ST, STE 104Watsonville, CA 95076-2491
Mailing Address65 Nielson St, Ste 104Watsonville, CA 95076-2491 · (831) 786-8595 · Fax (831) 786-8557
Phone(831) 786-8595
Fax(831) 786-8557
Organization SubpartNo
Authorized OfficialChristopher John O'gradyPhysician / Owner · (831) 786-8595
Enumeration DateJune 23, 2006
Last NPPES UpdateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1679509798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
65 NIELSON ST, Watsonville, CA 95076
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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

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) 05D1055254

Pajaro Valley Medical Clinic, Inc · Watsonville, CA
Active · expires Jun 12, 2028
CLIA Number05D1055254
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorChristopher O'grady
Laboratory Phone(831) 786-8595
Laboratory LocationPajaro Valley Medical Clinic, Inc65 Nielson Street, Ste 104, 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 2

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

ASHIKA, INC
Podiatrist (Primary Podiatric Medicine)
65 NIELSON ST, SUITE 125
WATSONVILLE, CA 95076
Santa Cruz County (650) 270-4888
DR. CHRISTOPHER JOHN O'GRADY M.D.
Family Medicine (Geriatric Medicine)
65 NIELSON ST, #104
WATSONVILLE, CA 95076
Santa Cruz County (831) 786-8595

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 Medical Clinic, Inc.'s NPI number?

The NPI number for Pajaro Valley Medical Clinic, Inc. is 1679509798. It was assigned to this organization in the NPPES registry on June 23, 2006.

Where is Pajaro Valley Medical Clinic, Inc. located?

Pajaro Valley Medical Clinic, Inc. is located at 65 Nielson St Ste 104, Watsonville, CA 95076. The listed phone number is (831) 786-8595.

What is Pajaro Valley Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Does Pajaro Valley Medical Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1055254) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pajaro Valley Medical Clinic, Inc. was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.