PAJARO VALLEY MEDICAL CLINIC, INC.
NPI 1679509798
Family Medicine - Geriatric Medicine in Watsonville, CA
- 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 Verify this NPI
- 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.
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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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
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.
