Organization Active NPI

Pajaro Valley Health Care District Hospital Corporation (Pvhcdhc)

Doing business as Watsonville Community Hospital

  • Community/Retail Pharmacy
  • Watsonville, CA
National Provider Identifier
1205808375
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PAJARO VALLEY HEALTH CARE DISTRICT HOSPITAL CORPORATION (PVHCDHC)
Doing business as
Watsonville Community Hospital
Practice address
75 Nielson Street
Watsonville, CA 95076-2468
Phone
(831) 763-6040
Fax
(831) 728-4758
NPI assigned
Feb 3, 2006
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Mr. Matko Vranjes
Title
Coo
Phone
(831) 763-6040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

75 Nielson Street
Watsonville, CA 95076-2468

Mailing address

75 Nielson Street
Watsonville, CA 95076-2468
Phone (831) 763-6040

Other identifiers 2

IdentifierTypeStateIssuer
PHB438410MedicaidCA
0580945OtherCANABP

Other names 1

  • Watsonville Community Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pajaro Valley Health Care District Hospital Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1205808375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NIELSON STREET",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762468",
            "telephone_number": "831-763-6040",
            "fax_number": "831-728-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NIELSON STREET",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762468",
            "telephone_number": "831-763-6040",
            "fax_number": "831-728-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAJARO VALLEY HEALTH CARE DISTRICT HOSPITAL CORPORATION (PVHCDHC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "VRANJES",
        "authorized_official_first_name": "MATKO",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "831-763-6040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB438410",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0580945",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watsonville Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.