Active NPI
Robert Francisco Letamendi, M.D.
- Adult Medicine Physician
- Watsonville, CA
National Provider Identifier
1356341671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- A50002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A500020 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A50002 | CA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Para la Gente | Current | Accepting new patients | |
| Salud Para la Gente | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Watsonville, CA
- NPI 1730169756
-
- Federally Qualified Health Center (FQHC)
- Salinas, CA
- NPI 1497012561
-
- Federally Qualified Health Center (FQHC)
- Seaside, CA
- NPI 1700142544
-
- Federally Qualified Health Center (FQHC)
- Watsonville, CA
- NPI 1629269618
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.