Organization Active NPI

Monterey County Health Department Laboratory

  • Clinical Medical Laboratory
  • Salinas, CA
National Provider Identifier
1326125337
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MONTEREY COUNTY HEALTH DEPARTMENT LABORATORY
Practice address
1270 Natividad Rd
Salinas, CA 93906-3122
Phone
(831) 755-4516
Fax
(831) 755-4652
NPI assigned
Nov 1, 2006
Last updated
Jul 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Mr. Gerry R. Guibert, M.S.
Title
Laboratory Director
Phone
(831) 755-4516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1270 Natividad Rd
Salinas, CA 93906-3122

Mailing address

1270 Natividad Rd
Salinas, CA 93906-3122
Phone (831) 755-4516

Other identifiers 1

IdentifierTypeStateIssuer
CACPH0904OtherCACALIFORNIA ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101112000688 CA Part B Supplier - Independent Clinical Laboratory 2466345632 Practice locations: Salinas, CA

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1101295Monterey County Health Dept HIV/AIDS Programs1270 Natividad Rd, Salinas, CA 93906Certificate of waiverJun 23, 2027

National Provider Directory

National Provider Directory

Locations

1270 Natividad Rd
Salinas, CA 93906
Phone (831) 755-4500

Ownership & related parties

All facility ownership & control disclosures 13

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

FacilityTypeRoleSince
Natividad Medical CenterSalinas, CA, CCN 050248 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Jan 29, 2014
Jan 29, 2014
Natividad Medical CenterSalinas, CA, CCN 05T248 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Jan 29, 2014
Jan 29, 2014
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 12

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1326125337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 NATIVIDAD RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063122",
            "telephone_number": "831-755-4516",
            "fax_number": "831-755-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 NATIVIDAD RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063122",
            "telephone_number": "831-755-4516",
            "fax_number": "831-755-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY COUNTY HEALTH DEPARTMENT LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "GUIBERT",
        "authorized_official_first_name": "GERRY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "831-755-4516",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA ID",
            "identifier": "CACPH0904",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.