NPIMap

Individual provider Active NPI

Cathleen Chandler-Eckhardt

  • Medical Physician Assistant
  • Watsonville, CA
National Provider Identifier
1265681977
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
13083 Issued in CA
Practice address
204 E Beach St
Watsonville, CA 95076-4809
Phone
(831) 728-0222
NPI assigned
Sep 17, 2008
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 13083 CA Primary

Addresses

Primary practice location

204 E Beach St
Watsonville, CA 95076-4809

Mailing address

PO Box 1870
Watsonville, CA 95077-1870
Phone (831) 728-0222

Other names 1

  • Ms. Cathleen Chandler-Eckhardt Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150408000750 CA Practitioner - Physician Assistant 7911941745 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Para la Gente CurrentSince Jan 7, 2015 Accepting new patients
Salud Para la Gente CurrentSince Jan 7, 2015 Accepting new patients
Salud Para la Gente Past Accepting new patients
Salud Para la Gente Past Accepting new patients
Salud Para la Gente Past Accepting new patients
Salud Para la Gente Past Accepting new patients
Clinica del Valle del Pajaro Past Accepting new patients
Salud Para la Gente Beach Flats Health Ctr Past Accepting new patients
Salud Para la Gente Past Accepting new patients
Dignity Health Past Accepting new patients
Salud Para la Gente-Elderday Santa Cruz Past Accepting new patients

Locations

195 Aviation Way
Ste 200
Watsonville, CA 95076

204 E Beach St
Watsonville, CA 95076
Phone (831) 763-3413

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1265681977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1870",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950771870",
            "telephone_number": "831-728-0222",
            "fax_number": "831-707-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E BEACH ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764809",
            "telephone_number": "831-728-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER-ECKHARDT",
        "first_name": "CATHLEEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "13083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHLEEN",
            "last_name": "CHANDLER-ECKHARDT",
            "prefix": "MS.",
            "credential": "F.N.P./ P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.