Pajaro Valley Health Care District

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PAJARO VALLEY HEALTH CARE DISTRICT

Doing business as

Coastal Healthcare

Practice address

65 Nielson St Ste 102
Watsonville, CA 95076-2491

Phone

(831) 768-6217

Fax

(831) 768-6219

NPI assigned

Dec 14, 2022

Last updated

Feb 12, 2025By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Coastal Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Pajaro Valley Health Care District Hospital Corporation

  dba Watsonville Community Hospital

  • General Acute Care Hospital
  • Watsonville, CA
  • NPI 1619607488

  Member Of

  NPD member

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Pajaro Valley Health Care District Hospital Corporation

  dba Watsonville Community Hospital

  • General Acute Care Hospital
  • Watsonville, CA
  • NPI 1619607488

  5% Or Greater Indirect Ownership Interest

  CMS ownership

Practitioners 16

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.

• Robert Waldo Allen, M.D.

  • Surgery Physician
  • Watsonville, CA
  • NPI 1730610403
  Medicare reassignment Care Compare group NPD
• Omid Bakhtar, D.O.

  • Internal Medicine Physician
  • Watsonville, CA
  • NPI 1194953901
  Medicare reassignment Care Compare group NPD
• Luke Chong Bi, MD

  • Gastroenterology Physician
  • Fremont, CA
  • NPI 1700964202
  Medicare reassignment Care Compare group NPD
• Peter Noneng Bretan, M.D.

  • Urology Physician
  • Salinas, CA
  • NPI 1639177934
  Medicare reassignment Care Compare group NPD
• Shannon Nicol Clasen, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Freedom, CA
  • NPI 1891073425
  Medicare reassignment Care Compare group NPD
• Jennifer Irene Etcheson, MD, MS

  • Orthopaedic Surgery Physician
  • Watsonville, CA
  • NPI 1225599731
  Medicare reassignment Care Compare group NPD
• Stanley Hwang, MD

  • Cardiovascular Disease Physician
  • Watsonville, CA
  • NPI 1780654525
  Medicare reassignment Care Compare group NPD
• Philip Andrew Knorr, M.D.

  • Urology Physician
  • Freedom, CA
  • NPI 1801981485
  Medicare reassignment Care Compare group NPD
• Minh Le, MD

  • Pulmonary Disease Physician
  • Salinas, CA
  • NPI 1508252180
  Medicare reassignment Care Compare group NPD
• Chad Antony Medawar, D.O.

  • Pulmonary Disease Physician
  • Salinas, CA
  • NPI 1962662700
  Medicare reassignment Care Compare group NPD
• Janet Nagamine, MD

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1982781837
  Medicare reassignment Care Compare group NPD
• Ryan Nolan, M.D.

  • Surgery Physician
  • Watsonville, CA
  • NPI 1265832950
  Medicare reassignment Care Compare group NPD

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": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 (Diabetes Health Center)
• Pajaro Valley Health Care District Hospital Corporation (Watsonville Community Hospital)
• Pajaro Valley Health Care District Hospital Corporation (Pvhcdhc) (Watsonville Community Hospital)
• Pajaro Valley Medical Clinic, Inc.
• Pajaro Valley Neurology Medical Associates Inc.
• Pajaro Valley Prevention and Student Assistance

• Cardiovascular Disease Physician in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Cardiovascular Disease Physician in California

• 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.

Verify at the official NPI Registry.