Pajaro Valley Community Health Trust

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

2513000000X Issued in CA

Legal business name

PAJARO VALLEY COMMUNITY HEALTH TRUST

Practice address

85 Neilson St
Suite 201
Watsonville, CA 95076-2485

Phone

(831) 726-4267

Fax

(831) 722-2462

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Deandre James

Title

Executive Director

Phone

(831) 726-4267

Specialties & licenses 2

Addresses

Other names 1

• Diabetes Health Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Watsonville Comm Ultras2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pajaro Valley Community Health Trust

  • Community Health Clinic/Center
  • Watsonville, CA
  • NPI 1134388093
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carly Gaffney, RDN

  • Registered Dietitian
  • Watsonville, CA
  • NPI 1609537422
  Medicare reassignment Care Compare group NPD
• Amanda Maroudas, RD

  • Registered Dietitian
  • Watsonville, CA
  • NPI 1316532765
  Medicare reassignment Care Compare group NPD
• Maria Cristina Vega-Martinez, R.D., CDE

  • Registered Dietitian
  • Watsonville, CA
  • NPI 1508107210
  Medicare reassignment Care Compare group
• Amitpal Singh Kohli, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Laguna Niguel, CA
  • NPI 1215151071
  Medicare reassignment NPD
• Rachel Hannah Ruby, NP

  • Adult Health Nurse Practitioner
  • Santa Cruz, CA
  • NPI 1356494850
  Medicare reassignment NPD
• Ariel Morell Planes, FNP-C

  • Family Nurse Practitioner
  • Watsonville, CA
  • NPI 1013741131

  Single Specialty

  NPD
• Martha Patricia Quintana, RN,BSN,PHN, CDE

  • Diabetes Educator Registered Nurse
  • Watsonville, CA
  • NPI 1528609971
  NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1447327804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 NIELSON ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762485",
            "telephone_number": "831-726-4267",
            "fax_number": "831-722-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 NEILSON ST",
            "address_2": "SUITE 201",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762485",
            "telephone_number": "831-726-4267",
            "fax_number": "831-722-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAJARO VALLEY COMMUNITY HEALTH TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DEANDRE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-726-4267"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": "2513000000X",
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diabetes Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Padilla
• Leonord Pagadala, D.M.D
• Pain Clinic of Monterey Bay
• Pain Clinic of Monterey Bay
• Pajaro Valley Community Health Trust
• Pajaro Valley Health Care District
• Pajaro Valley Health Care District Hospital Corporation
• Pajaro Valley Health Care District Hospital Corporation (Pvhcdhc)
• Pajaro Valley Medical Clinic, Inc.
• Pajaro Valley Neurology Medical Associates Inc.

• Local Education Agency (LEA) in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Local Education Agency (LEA) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.