Organization Active NPI

Perpetual Help Medical Center

  • Family Medicine Physician
  • Hollister, CA
National Provider Identifier
1184922510
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A98158 Issued in CA
Legal business name
PERPETUAL HELP MEDICAL CENTER
Practice address
901 Sunset Dr
Suite 4
Hollister, CA 95023-5613
Phone
(831) 636-1571
Fax
(831) 636-1706
NPI assigned
Mar 9, 2011
Last updated
Mar 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Mr. Dennis Santa Maria
Title
Office Manager
Phone
(831) 636-1571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A98158 CA Primary

Addresses

Primary practice location

901 Sunset Dr
Suite 4
Hollister, CA 95023-5613

Mailing address

901 Sunset Dr
Suite 4
Hollister, CA 95023-5613

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1184922510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SUNSET DR",
            "address_2": "SUITE 4",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUNSET DR",
            "address_2": "SUITE 4",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235613",
            "telephone_number": "831-636-1571",
            "fax_number": "831-636-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERPETUAL HELP MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "SANTA MARIA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "831-636-1571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A98158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.