Active NPI
Pajaro Valley Health Care District
- Cardiovascular Disease Physician
- Watsonville, CA
National Provider Identifier
1285346809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- PAJARO VALLEY HEALTH CARE DISTRICT
- Practice address
- 65 Nielson St Ste 102
Watsonville, CA 95076-2491 - Phone
- (831) 768-6217
- Fax
- (831) 768-6219
- NPI assigned
- Dec 14, 2022
- 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
- Lupe Mendoza
- Title
- Director
- Phone
- (831) 768-6292
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Gastroenterology Physician | 207RG0100X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | |||
| Infectious Disease Physician | 207RI0200X | |||
| Nephrology Physician | 207RN0300X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Surgery Physician | 208600000X | |||
| Urology Physician | 208800000X | |||
| Primary Podiatric Medicine Podiatrist | 213EP1101X |
Addresses
Primary practice location
65 Nielson St Ste 102
Watsonville, CA 95076-2491
Mailing address
65 Nielson St Ste 102
Watsonville, CA 95076-2491
Phone (831) 768-6217
Other practice location 1
99 Airport Blvd
Freedom, CA 95019-2917
Phone (831) 724-7521
Other practice location 2
1820 Main St
Watsonville, CA 95076-3092
Phone (831) 728-4227
Other practice location 3
65 Nielson St Ste 125
Watsonville, CA 95076-2491
Phone (831) 768-6466
Other names 1
- Coastal Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231221001194 | CA | Part B Supplier - Clinic/Group Practice | 6002292497 |
Receives reassigned benefits from 16 practitioners Practice locations: Watsonville, CA; Freedom, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0605634 | Pajaro Valley Health Care District | Provider-performed microscopy | Aug 31, 2026 |
| 05D2012027 | Pajaro Valley Health Care District Dba Coastal | Certificate of waiver | Jul 15, 2027 |
| 05D2091724 | Pajaro Valley Health Care District | Provider-performed microscopy | May 29, 2027 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- General Acute Care Hospital
- Watsonville, CA
- NPI 1619607488
Member Of
Locations
65 Nielson St
Ste 125
Watsonville, CA 95076
Phone (831) 768-6266
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Watsonville Community Hospital | Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Aug 31, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Watsonville, CA
- NPI 1619607488
5% Or Greater Indirect Ownership Interest
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Watsonville, CA
- NPI 1225599731
CA, Orthopaedic Surgery
-
- Cardiovascular Disease Physician
- Watsonville, CA
- NPI 1780654525
CA, Cardiovascular Disease
-
- Pulmonary Disease Physician
- Salinas, CA
- NPI 1962662700
CA, Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739318400000",
"number": "1285346809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 NIELSON ST STE 102",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950762491",
"telephone_number": "831-768-6217",
"fax_number": "831-768-6219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 NIELSON ST STE 102",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950762491",
"telephone_number": "831-768-6217",
"fax_number": "831-768-6219"
}
],
"practiceLocations": [
{
"address_1": "99 Airport Blvd",
"address_purpose": "LOCATION",
"city": "Freedom",
"state": "CA",
"postal_code": "950192917",
"country_code": "US",
"telephone_number": "831-724-7521",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1820 Main St",
"address_purpose": "LOCATION",
"city": "Watsonville",
"state": "CA",
"postal_code": "950763092",
"country_code": "US",
"telephone_number": "831-728-4227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "65 Nielson St Ste 125",
"address_purpose": "LOCATION",
"city": "Watsonville",
"state": "CA",
"postal_code": "950762491",
"country_code": "US",
"telephone_number": "831-768-6466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PAJARO VALLEY HEALTH CARE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-14",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "MENDOZA",
"authorized_official_first_name": "LUPE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "831-768-6292"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coastal Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Watsonville, CA
- Leonord Pagadala, D.M.D
- Pain Clinic of Monterey Bay
- Pain Clinic of Monterey Bay
- Pajaro Valley Community Health Trust
- Pajaro Valley Community Health Trust
- Pajaro Valley Health Care District Hospital Corporation
- Pajaro Valley Health Care District Hospital Corporation (Pvhcdhc)
- Pajaro Valley Medical Clinic, Inc.
- Pajaro Valley Neurology Medical Associates Inc.
- 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 Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.