Individual provider Active NPI

Oscar Gantes, MD

  • Family Medicine Physician
  • Watsonville, CA
National Provider Identifier
1346676889
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A129060 Issued in CA
Practice address
204 E Beach St
Watsonville, CA 95076-4809
Phone
(831) 728-0222
Fax
(831) 707-2777
NPI assigned
Sep 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A129060 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 practice location 1

45 Nielson St
Watsonville, CA 95076-2059
Phone (831) 728-0222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118000385 CA Practitioner - Family Practice 4183924483 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

831 Via Suerte
Suite 102
San Clemente, CA 92673-6531
Phone (949) 364-5600

Hospital & facility affiliations

  • Providence at Home With Compassus Home Health Orange County Home health agency, Anaheim, CA, CCN 057600
  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A129060CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salinas Valley Memorial Healthcare System CurrentSince Jun 18, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Jan 2, 2024 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Apr 1, 2025 Accepting new patients
Salud Para la Gente CurrentSince Jan 4, 2021 Accepting new patients
Salud Para la Gente Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 2, 2024 Accepting new patients
Salud Para la Gente CurrentSince Jan 4, 2021 Accepting new patients
Salinas Valley Memorial Healthcare System Family Medicine CurrentSince Jun 18, 2024 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Providence Medical Foundation Family Medicine Past Accepting new patients
Moran Rowen and Dorsey Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

850 5th St
Gonzales, CA 93926
Phone (831) 657-3601

Dept LA 24403
Pasadena, CA 91185

395 W Avenida Vista Hermosa
Unit K
San Clemente, CA 92672
Phone (949) 304-2117

831 Via Suerte
Ste 102
San Clemente, CA 92673
Phone (949) 364-5600

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

195 Aviation Way
Ste 200
Watsonville, CA 95076

45 Nielson St
Watsonville, CA 95076
Phone (831) 761-1588

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1346676889",
    "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",
            "fax_number": "831-707-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Nielson St",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950762059",
            "country_code": "US",
            "telephone_number": "831-728-0222",
            "fax_number": "831-707-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANTES",
        "first_name": "OSCAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A129060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.