Pajaro Valley Health Care District Hospital Corporation
Organization Active NPI General Acute Care Hospital · Watsonville, CA
NPI 1619607488 · NPPES record last updated Aug 17, 2023
Key facts
- NPI
- 1619607488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- PAJARO VALLEY HEALTH CARE DISTRICT HOSPITAL CORPORATION
- Practice address
- 75 Nielson St
Watsonville, CA 95076-2468 - Phone
- (831) 724-4741
- NPI assigned
- Jun 14, 2022
- Organization subpart
- No
Authorized official
- Name
- Matko Vranjes
- Title
- Ceo
- Phone
- (831) 763-6040
Owners & managing parties with NPI records 3
-
James Joseph Gallagher, M.D.
Corporate family (same tax ID) 1
Member of 1
Practitioners 17
-
Joseph Albright, DPM
-
Omid Bakhtar, D.O.
-
Luke Chong Bi, MD
-
Ryan Brandt, MD
-
Peter Noneng Bretan, M.D.
-
Kyle Graham, M.D.
-
Stanley Hwang, MD
-
Ali Khademi, DO
-
Kyong-Mee S Kim, M.D.
-
Carl Brandon Lindberg, D.P.M
-
Bob Peng, MD
-
Cara Maylene Rasmussen, CNM/WHNP
-
Kuntal M Thaker, MD
Affiliated clinicians 246
-
Nicholas Abidi, MD
-
Nathan J Adams, CRNA
-
Firas Ajam, MD
-
Joseph Albright, DPM
-
Amer Ali, MD
-
Robert Waldo Allen, M.D.
-
Clay R Angel, M.D.
-
Omid Bakhtar, D.O.
-
Rebecca C Barker, MD
-
Francis Benigno Bayaca, M.D.
-
Elisabeth Bedolla Rocha, M.D.
-
Justin David Bennet, MD PHD
-
Kaitlin Best, D.O.
-
Komal J Bhatt, MD
-
Luke Chong Bi, MD
-
Ryan Brandt, MD
Medicare Care Compare: Hospital
- Listed as
- Watsonville Community Hospital
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospital certification: CCN 050194
- Legal name
- PAJARO VALLEY HEALTH CARE DISTRICT HOSPITAL CORPORATION
- Doing business as
- WATSONVILLE COMMUNITY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Sep 2, 2022
- Beds
- 106
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Sep 1, 2022 (3 total)
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 75 Nielson St
Watsonville, CA 95076-2468 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| James Joseph Gallagher |
Corporate Director |
Dec 6, 2022 | |
| Katherine Gabriel-Cox |
Corporate Director |
Apr 29, 2022 | |
| Pajaro Valley Health Care District |
5% Or Greater Indirect Ownership Interest | Aug 31, 2022 | 100% |
| Stephen M Gray |
Corporate Officer |
Nov 1, 2023 | |
| W-2 Managing Employee |
Nov 1, 2023 | ||
| Jose Antonio Nunez Palomino |
Corporate Officer |
Apr 29, 2022 | |
| Corporate Director |
Apr 29, 2022 | ||
| Alexandra Edens Friel |
Corporate Director |
Dec 16, 2024 | |
| Marcus Pimentel |
Corporate Officer |
Apr 29, 2022 | |
| Corporate Director |
Apr 29, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221010000393 | CA | Part a Provider - Hospital | 0648656033 | Practice locations: Watsonville, CA |
National Provider Directory
- Tax ID family
- Pajaro Valley Health Care District Hospital Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes | ||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
75 Nielson St
Watsonville, CA 95076-2468
Mailing address
75 Nielson Street
Administration
Watsonville, CA 95076-2468
Phone (831) 763-6040
Other names
- Watsonville Community Hospital
Other providers in Watsonville, CA
- Pain Clinic of Monterey Bay
- Pain Clinic of Monterey Bay
- Pajaro Valley Community Health Trust
- Pajaro Valley Community Health Trust
- Pajaro Valley Health Care District
- Pajaro Valley Health Care District Hospital Corporation (Pvhcdhc)
- Pajaro Valley Medical Clinic, Inc.
- Pajaro Valley Neurology Medical Associates Inc.
- Pajaro Valley Prevention and Student Assistance
- Pajaro Valley Prevention and Student Assistance
All providers in Watsonville, CA · General Acute Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.