PAJARO VALLEY MEDICAL CLINIC, INC.
NPI 1679509798
Family Medicine - Geriatric Medicine in Watsonville, CA
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pajaro Valley Medical Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pajaro Valley Medical Clinic, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Pajaro Valley Medical Clinic, Inc. enrolled in Medicare?
Yes. Pajaro Valley Medical Clinic, Inc. is registered in the Medicare PECOS enrollment system.
When is Pajaro Valley Medical Clinic, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pajaro Valley Medical Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Geriatric Medicine) reassigns their Medicare billing to Pajaro Valley Medical Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Pajaro Valley Medical Clinic, Inc. · NPI 1679509798
Geriatric Medicine organization in Watsonville, California. Organization record, active in the CMS NPPES registry since June 23, 2006.
## Identity
- **NPI:** 1679509798 (Entity type: Organization)
- **Enumerated:** June 23, 2006
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **Organization subpart:** No
- **Authorized official:** Christopher O'grady, PHYSICIAN / OWNER
## Practice location
- **Address:** 65 NIELSON ST, STE 104, Watsonville, CA 95076-2491
- **Phone:** (831) 786-8595 · **Fax:** (831) 786-8557
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Geriatric Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679509798) · Data from the CMS NPPES public registry.