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1150 MAIN STREET INC
NPI 1912347261
Family Medicine in Watsonville, CA

Active since July 01, 2013
1150 MAIN ST STE 3, WATSONVILLE, CA 95076(831) 728-0551(831) 728-3679 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 1150 Main Street Inc NPPES

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

1150 MAIN STREET INC (NPI 1912347261) is a healthcare organization registered as a family medicine in Watsonville, California and active in the NPI registry since July 2013. The organization lists Shirley L Dickinson, Manager, as its authorized official.

NPPES Registry Identity

NPI1912347261
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name1150 MAIN STREET INC
Location Address1150 MAIN ST STE 3Watsonville, CA 95076-3760
Mailing Address1150 Main St Ste 3Watsonville, CA 95076-3760 · (831) 728-0551 · Fax (831) 728-3679
Phone(831) 728-0551
Fax(831) 728-3679
Organization SubpartNo
Authorized OfficialShirley L DickinsonManager · (831) 728-0551
Enumeration DateJuly 1, 2013
✔ NPI 1912347261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G56281
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1150 MAIN ST STE 3, Watsonville, CA 95076
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

ZERLINA SRAMEK P.A.
Physician Assistant
1150 MAIN ST STE 3
WATSONVILLE, CA 95076
Santa Cruz County (831) 728-0551
VALLI LORRAINE DAVIS BARRIOZ CNM, WHNP-BC
Advanced Practice Midwife
1150 MAIN ST STE 3
WATSONVILLE, CA 95076
Santa Cruz County (858) 752-0414
OLIVIA GUZMAN PA-C
Physician Assistant (Medical)
1150 MAIN ST STE 3
WATSONVILLE, CA 95076
Santa Cruz County (831) 728-0551
SAMANTHA LINDA-SELENE FERNANDEZ FERNANDEZ MSN, FNP-C, PHN
Nurse Practitioner (Family)
1150 MAIN ST STE 3
WATSONVILLE, CA 95076
Santa Cruz County (831) 728-0551

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 1150 Main Street Inc's NPI number?

The NPI number for 1150 Main Street Inc is 1912347261. It was assigned to this organization in the NPPES registry on July 1, 2013.

Where is 1150 Main Street Inc located?

1150 Main Street Inc is located at 1150 Main St Ste 3, Watsonville, CA 95076. The listed phone number is (831) 728-0551.

What is 1150 Main Street Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for 1150 Main Street Inc was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.