Individual provider Active NPI

Robert Francisco Letamendi, M.D.

  • Adult Medicine Physician
  • Watsonville, CA
National Provider Identifier
1356341671
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A50002 Issued in CA
Practice address
21 Brennan St
Suite 21
Watsonville, CA 95076-4337
Phone
(831) 728-4030
Fax
(831) 728-3205
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X A50002 CA Primary

Addresses

Primary practice location

21 Brennan St
Suite 21
Watsonville, CA 95076-4337

Mailing address

21 Brennan St
Suite 21
Watsonville, CA 95076-4337

Other identifiers 1

IdentifierTypeStateIssuer
00A500020MedicaidCA

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
I20120417000683 CA Practitioner - General Practice 6406017508 Reassigns benefits to 1 organization
Practice locations: Watsonville, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A50002CAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Para la Gente CurrentSince Dec 6, 2025 Accepting new patients
Salud Para la Gente CurrentSince Dec 6, 2025 Accepting new patients
Salud Para la Gente Past Accepting new patients

Locations

195 Aviation Way
Ste 200
Watsonville, CA 95076

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

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356341671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BRENNAN ST",
            "address_2": "SUITE 21",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BRENNAN ST",
            "address_2": "SUITE 21",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764337",
            "telephone_number": "831-728-4030",
            "fax_number": "831-728-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETAMENDI",
        "first_name": "ROBERT",
        "middle_name": "FRANCISCO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A50002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A500020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.