Active NPI
Monterey Peninsula College
- Health Service Clinic/Center
- Monterey, CA
National Provider Identifier
1053581850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- MONTEREY PENINSULA COLLEGE
- Practice address
- 980 Fremont St
Monterey, CA 93940-4704 - Phone
- (831) 646-4017
- Fax
- (831) 646-4015
- NPI assigned
- Mar 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christa Peacock, NP
- Title
- Director of Health Services
- Phone
- (831) 646-4017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
980 Fremont St
Monterey, CA 93940-4704
Mailing address
980 Fremont St
Monterey, CA 93940-4704
Phone (831) 646-4017
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1083558 | Monterey Peninsula College Health Services | Certificate of waiver | May 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
980 Fremont St
Monterey, CA 93940
Phone (831) 646-4017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211500800000",
"number": "1053581850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 FREMONT ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404704",
"telephone_number": "831-646-4017",
"fax_number": "831-646-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 FREMONT ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939404704",
"telephone_number": "831-646-4017",
"fax_number": "831-646-4015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTEREY PENINSULA COLLEGE",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-07",
"last_updated": "2008-05-23",
"status": "A",
"authorized_official_last_name": "PEACOCK",
"authorized_official_first_name": "CHRISTA",
"authorized_official_title_or_position": "DIRECTOR OF HEALTH SERVICES",
"authorized_official_telephone_number": "831-646-4017",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
- Monterey Med Ink LLC
- Monterey Medical Center
- Monterey Orthopedic Physical Therapy
- Monterey Pathologists, a Medical Group, Inc.
- Monterey Peninsula Anesthesia Medical Group, Inc.
- Monterey Peninsula Dialysis, LLC
- Monterey Peninsula Endodontics
- Monterey Peninsula General Dental Group
- Monterey Peninsula Nephrology
- Monterey Peninsula Orthopaedic and Sports Medicine Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.