NPIMap

Organization Active NPI

County of Monterey

Doing business as Bienestar King City

  • Family Medicine Physician
  • King City, CA
National Provider Identifier
1407254477
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COUNTY OF MONTEREY
Doing business as
Bienestar King City
Practice address
200 Broadway St
Suite 70
King City, CA 93930-2865
Phone
(831) 769-8800
NPI assigned
Dec 8, 2014
Last updated
Dec 8, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTEREY COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Authorized official

Name
Julia Claire Edgcomb
Title
Director/Coo Clinic Services Bureau
Phone
(831) 796-1386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

200 Broadway St
Suite 70
King City, CA 93930-2865

Mailing address

1615 Bunker Hill Way
Suite 100
Salinas, CA 93906-6013
Phone (831) 796-1386

Other names 1

  • Bienestar King City Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050712001287 CA Part B Supplier - Clinic/Group Practice 2466345632 Receives reassigned benefits from 94 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marina, CA; Salinas, CA; Seaside, CA

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Monterey County Behavioral Health Division Dba FFS MFCC

Locations

1615 Bunker Hill Way
Ste 100
Salinas, CA 93906
Phone (831) 796-1304

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1407254477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 BUNKER HILL WAY",
            "address_2": "SUITE 100",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939066013",
            "telephone_number": "831-796-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROADWAY ST",
            "address_2": "SUITE 70",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939302865",
            "telephone_number": "831-769-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MONTEREY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTEREY COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "EDGCOMB",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "DIRECTOR/COO CLINIC SERVICES BUREAU",
        "authorized_official_telephone_number": "831-796-1386"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bienestar King City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.