Organization Active NPI

Monterey Peninsula College

  • Health Service Clinic/Center
  • Monterey, CA
National Provider Identifier
1053581850
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on May 23, 2008

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1083558Monterey Peninsula College Health Services980 Fremont St, Monterey, CA 93940Certificate of waiverMay 4, 2028

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.