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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHB438410 | Medicaid | CA | |
| 0580945 | Other | CA | NABP |
Other names 1
- Watsonville Community Hospital
National Provider Directory
National Provider Directory- Tax ID family
- Pajaro Valley Health Care District Hospital Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Watsonville Community Hospital
- General Acute Care Hospital
- Watsonville, CA
- NPI 1619607488
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
- Pain Clinic of Monterey Bay
- Pajaro Valley Community Health Trust
- Pajaro Valley Community Health Trust (Diabetes Health Center)
- Pajaro Valley Health Care District (Coastal Healthcare)
- Pajaro Valley Health Care District Hospital Corporation (Watsonville Community Hospital)
- Pajaro Valley Medical Clinic, Inc.
- Pajaro Valley Neurology Medical Associates Inc.
- Pajaro Valley Prevention and Student Assistance
- Pajaro Valley Prevention and Student Assistance
- Pajaro Valley Prevention and Student Assistance
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.