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

NPI Status: Active since June 23, 2006

Contact Information

65 NIELSON ST
STE 104
WATSONVILLE, CA
ZIP 95076
Phone: (831) 786-8595
Fax: (831) 786-8557

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  • Organization
  • Family Medicine
  • Geriatric Medicine
  • CLIA Number: 05D2125224
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 02-01-2027

About PAJARO VALLEY MEDICAL CLINIC, INC.

This page provides the complete NPI Profile along with additional information for Pajaro Valley Medical Clinic, Inc., a primary care provider established in Watsonville, California operating as a Family Medicine, focusing in geriatric medicine . The healthcare provider is registered in the NPI registry with number 1679509798 assigned on June 2006. The practitioner's primary taxonomy code is 207QG0300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Pajaro Valley Medical Clinic, Inc. 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 Christopher John O'grady M.d. (Physician / Owner)

NPI
1679509798
Provider Name
PAJARO VALLEY MEDICAL CLINIC, INC.
Entity Type
Organization
Location Address
65 NIELSON ST STE 104 WATSONVILLE, CA 95076
Location Phone
(831) 786-8595
Location Fax
(831) 786-8557
Mailing Address
65 NIELSON ST STE 104 WATSONVILLE, CA 95076
Mailing Phone
(831) 786-8595
Mailing Fax
(831) 786-8557
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2006
Last Update Date
07-18-2024
Code Navigator

A primary care provider (PCP) like Pajaro Valley Medical Clinic, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine Geriatric Medicine

Taxonomy Code
207QG0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHRISTOPHER JOHN O'GRADY M.D.

Authorized Official Title
PHYSICIAN / OWNER
Authorized Official Phone
(831) 786-8595

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
05D2125224
Facility Type
Federally Qualified Health Center
Certificate Effective Date
February 02, 2025
Certificate Expiration Date
February 01, 2027
Laboratory Director
AMY MCENTEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pajaro Valley Medical Clinic, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1679509798, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
9
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 4 + 9 + 1 + 0 + 0 + 1 + 8 + 7 + 1 + 8 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1679509798.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Podiatrist (Primary Podiatric Medicine)
65 NIELSON ST, SUITE 125
WATSONVILLE, CA 95076
Family Medicine (Geriatric Medicine)
65 NIELSON ST, #104
WATSONVILLE, CA 95076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679509798, enumerated as an "organization" on June 23, 2006.

The provider is located at 65 NIELSON ST STE 104 WATSONVILLE, CA 95076 and the phone number is (831) 786-8595.

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.