NPIMap

Organization Active NPI

Pajaro Valley Health Care District Hospital Corporation

Doing business as Watsonville Community Hospital

  • General Acute Care Hospital
  • Watsonville, CA
National Provider Identifier
1619607488
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PAJARO VALLEY HEALTH CARE DISTRICT HOSPITAL CORPORATION
Doing business as
Watsonville Community Hospital
Practice address
75 Nielson St
Watsonville, CA 95076-2468
Phone
(831) 724-4741
NPI assigned
Jun 14, 2022
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Matko Vranjes
Title
Ceo
Phone
(831) 763-6040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary
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 1

  • Watsonville Community Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221010000393 CA Part A Provider - Hospital 0648656033 Practice locations: Watsonville, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619607488. Details of each certification follow.

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
CorporationNon-profit
Enrollment address
75 Nielson St
Watsonville, CA 95076-2468
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Watsonville Community HospitalCCN 050194 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Pajaro Valley Health Care District Hospital Corporation Pvhcdhc2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4145 Clares St
Capitola, CA 95010
Phone (831) 438-2750

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Joseph Gallagher Individual Corporate DirectorBoard Director Dec 6, 2022
Katherine Gabriel-Cox Individual Corporate DirectorDirector Apr 29, 2022
Pajaro Valley Health Care District Organization, Watsonville, CA Created for acquisition, Non-profit 5% Or Greater Indirect Ownership Interest Aug 31, 2022 100%
Stephen M Gray Individual Corporate OfficerAdministrator Nov 1, 2023
W-2 Managing EmployeeAd; Nov 1, 2023
Jose Antonio Nunez Palomino Individual Corporate OfficerSecretary of Board Apr 29, 2022
Corporate DirectorDirector Apr 29, 2022
Alexandra Edens Friel Individual Corporate DirectorBoard Director Dec 16, 2024
Marcus Pimentel Individual Corporate OfficerTreasurer Apr 29, 2022
Corporate DirectorDirector Apr 29, 2022

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

Affiliated clinicians 246

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 246

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1619607488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NIELSON STREET",
            "address_2": "ADMINISTRATION",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762468",
            "telephone_number": "831-763-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NIELSON ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762468",
            "telephone_number": "831-724-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAJARO VALLEY HEALTH CARE DISTRICT HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "VRANJES",
        "authorized_official_first_name": "MATKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-763-6040"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watsonville Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Watsonville Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.