NPIMap

Organization Active NPI

County of Monterey

Doing business as Natividad Medical Center

  • General Acute Care Hospital
  • Salinas, CA
National Provider Identifier
1205863255
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
COUNTY OF MONTEREY
Doing business as
Natividad Medical Center
Practice address
1441 Constitution Blvd
Salinas, CA 93906-3100
Phone
(831) 755-4111
Fax
(831) 755-4087
NPI assigned
Jun 26, 2006
Last updated
Nov 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Authorized official

Name
Daniel Leon
Title
Chief Financial Officer
Phone
(831) 783-2561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

1441 Constitution Blvd
Salinas, CA 93906-3100

Mailing address

PO Box 80007
Salinas, CA 93912-0007
Phone (831) 755-4111

Other identifiers 6

IdentifierTypeStateIssuer
HSC00248WMedicaidCA
HSP40248FMedicaidCA
ZZR00248WMedicaidCA
ZZZ93632ZOtherCABLUE SHIELD PHYSICIAN
ZZZ12701ZOtherCABLUE SHIELD
GR0076460OtherCAMEDI-CAL IP

Other names 1

  • NATIVIDAD MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040806001187 CA Part A Provider - Hospital 2466345632 Practice locations: Salinas, CA
O20050502000456 CA Part B Supplier - Clinic/Group Practice 2466345632 Receives reassigned benefits from 276 practitioners
2 other NPIs on this enrollment
Practice locations: Salinas, CA; Greenfield, CA
O20070212000687 CA Part A Provider - Hospital 2466345632 Practice locations: Salinas, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1205863255. Details of each certification follow.

Hospital certification: CCN 050248

Legal name
COUNTY OF MONTEREY
Doing business as
NATIVIDAD MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 12, 2023
Beds
172
Ownership / control type
Local
Organization structure
GovernmentProprietary
Enrollment address
1441 Constitution Blvd
Salinas, CA 93906-3100
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation

Hospital certification: CCN 05T248

Legal name
COUNTY OF MONTEREY
Doing business as
NATIVIDAD MEDICAL CENTER
Organization structure
GovernmentNon-profit
Enrollment address
1441 Constitution Blvd
Salinas, CA 93906-3100
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Natividad Medical CenterCCN 050248 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Sam Karas Aru - NatividadCCN 05T248 · All quality measures
Ownership
Government
Certified
Jul 1, 2003

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
County of Monterey Organization, Salinas, CA Medical provider/supplier 5% Or Greater Direct Ownership Interest Jan 29, 2014 100%
Operational/Managerial Control Jan 29, 2014 100%
5% Or Greater Direct Ownership Interest Jan 29, 2014
Operational/Managerial Control Jan 29, 2014
Gary R Gray Individual Corporate OfficerCeo May 1, 2015
Operational/Managerial Control Aug 14, 2014
Tracy Short Individual Corporate DirectorPatient Finance Director Apr 1, 2019
W-2 Managing EmployeeBusiness Director Apr 1, 2019
W-2 Managing EmployeeBusiness Office Director Apr 1, 2018
Daniel Leon Individual Corporate Officer May 1, 2015
W-2 Managing EmployeeCfo May 13, 2020 5%

Owners & managing parties with NPI records 14

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • County of Monterey

    dba Laurel Vista

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1033596911

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Laurel Internal Medicine

    • Internal Medicine Physician
    • Salinas, CA
    • NPI 1043262959

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba NIDO Clinic

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1134765381

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Bienestar

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1376956268

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Laurel Pediatric Clinic

    • Pediatrics Physician
    • Salinas, CA
    • NPI 1457303356

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Adult Services Program Salinas Valley

    • Adult Mental Health Clinic/Center
    • Salinas, CA
    • NPI 1467584805

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Alisal Integrated Health Center

    • Federally Qualified Health Center (FQHC)
    • Salinas, CA
    • NPI 1508629171

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Monterey County Health Clinic at Marina

    • Family Medicine Physician
    • Marina, CA
    • NPI 1588617955

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Alisal Health Center

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1699726786

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Laurel Family Practice

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1740232644

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Seaside Family Health Ctr

    • Family Medicine Physician
    • Seaside, CA
    • NPI 1881645158

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Monterey County Integrated Health Clinic

    • Family Medicine Physician
    • Marina, CA
    • NPI 1912310855

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
View all 14

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Laurel Family PracticeSalinas, CA, CCN 551003 Federally qualified health center Operational/Managerial Control May 12, 2015
Laurel ClinicsSalinas, CA, CCN 551002 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
Laurel Pediatric ClinicSalinas, CA, CCN 551001 Federally qualified health center 5% Or Greater Direct Ownership Interest Sep 10, 2009
Monterey County Health Clinic at MarinaMarina, CA, CCN 051198 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
Seaside Family Health CenterSeaside, CA, CCN 051197 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
Alisal Health CenterSalinas, CA, CCN 051199 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
Monterey Integrated Health ClinicMarina, CA, CCN 751098 Federally qualified health center Operational/Managerial Control Sep 16, 2013
BienestarSalinas, CA, CCN 751099 Federally qualified health center Operational/Managerial Control Oct 7, 2013
Laurel VistaSalinas, CA, CCN 751161 Federally qualified health center Operational/Managerial Control May 12, 2015
Nido ClinicSalinas, CA, CCN 921810 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2020
County of MontereySalinas, CA, CCN A01899 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2024

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 290

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 290

Affiliated clinicians 273

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 273

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1205863255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80007",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939120007",
            "telephone_number": "831-755-4111",
            "fax_number": "831-755-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-755-4111",
            "fax_number": "831-755-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MONTEREY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "831-783-2561"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSC00248W",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40248F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00248W",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PHYSICIAN",
            "identifier": "ZZZ93632Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ12701Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL IP",
            "identifier": "GR0076460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NATIVIDAD MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NATIVIDAD MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.