Organization Active NPI

Pajaro Valley Veterinary Hospital

  • Special Hospital
  • Freedom, CA
National Provider Identifier
1053710657
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
7626 Issued in CA
Legal business name
PAJARO VALLEY VETERINARY HOSPITAL
Practice address
2013 Freedom Blvd
Freedom, CA 95019-2811
Phone
(831) 722-3364
NPI assigned
Aug 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Roger Bierstedt, DVM
Title
Owner
Phone
(831) 722-3364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 7626 CA Primary

Addresses

Primary practice location

2013 Freedom Blvd
Freedom, CA 95019-2811

Mailing address

2013 Freedom Blvd
Freedom, CA 95019-2811
Phone (831) 722-3364

National Provider Directory

National Provider Directory

Locations

2013 Freedom Blvd
Freedom, CA 95019
Phone (831) 722-3364

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1053710657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 FREEDOM BLVD",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950192811",
            "telephone_number": "831-722-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 FREEDOM BLVD",
            "city": "FREEDOM",
            "state": "CA",
            "postal_code": "950192811",
            "telephone_number": "831-722-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAJARO VALLEY VETERINARY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "BIERSTEDT",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-722-3364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DVM"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "7626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freedom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.