NPIMap

Organization Active NPI

County of Monterey

  • Pediatrics Physician
  • Salinas, CA
National Provider Identifier
1124156898
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COUNTY OF MONTEREY
Practice address
1441 Constitution Blvd
BLDG. 200, Suite 101
Salinas, CA 93906-3100
Phone
(831) 755-4124
Fax
(831) 755-7077
NPI assigned
Mar 2, 2007
Organization subpart
Yes
Parent organization
MONTEREY COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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

Authorized official

Name
Julia Claire Edgcomb
Title
Director/Coo Clinic Services Div
Phone
(831) 769-6522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X CA Primary

Addresses

Primary practice location

1441 Constitution Blvd
BLDG. 200, Suite 101
Salinas, CA 93906-3100

Mailing address

1441 Schilling Place
South BLDG - First Floor - Health Dept Clinic Services
Salinas, CA 93901-4527
Phone (831) 796-1386

Other identifiers 2

IdentifierTypeStateIssuer
HAP70126FOtherCACOUNTY OF MONTEREY FAMPAC
FHC70126FMedicaidCA

Other names 1

  • Laurel Pediatric Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Monterey County Behavioral Health Division Dba FFS MFCC84 organizations share this tax ID, including this one
Part of
Monterey County Behavioral Health Division Dba FFS MFCC

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1124156898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SCHILLING PLACE",
            "address_2": "SOUTH BLDG - FIRST FLOOR - HEALTH DEPT CLINIC SERVICES",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014527",
            "telephone_number": "831-796-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD",
            "address_2": "BLDG. 200, SUITE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-755-4124",
            "fax_number": "831-755-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MONTEREY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTEREY COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2007-03-02",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "EDGCOMB",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "DIRECTOR/COO CLINIC SERVICES DIV",
        "authorized_official_telephone_number": "831-769-6522"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY OF MONTEREY FAMPAC",
            "identifier": "HAP70126F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70126F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Pediatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.