Pajaro Valley Medical Clinic, Inc.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

PAJARO VALLEY MEDICAL CLINIC, INC.

Practice address

65 Nielson St
Ste 104
Watsonville, CA 95076-2491

Phone

(831) 786-8595

Fax

(831) 786-8557

NPI assigned

Jun 23, 2006

Last updated

Jul 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher John O'Grady, M.D.NPI 1861474306

Title

Physician / Owner

Phone

(831) 786-8595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Christopher John O'Grady, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Watsonville, CA
  • NPI 1861474306
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1679509798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NIELSON ST",
            "address_2": "STE 104",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762491",
            "telephone_number": "831-786-8595",
            "fax_number": "831-786-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NIELSON ST",
            "address_2": "STE 104",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762491",
            "telephone_number": "831-786-8595",
            "fax_number": "831-786-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAJARO VALLEY MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "O'GRADY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "831-786-8595",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pajaro Valley Community Health Trust
• Pajaro Valley Community Health Trust (Diabetes Health Center)
• Pajaro Valley Health Care District (Coastal Healthcare)
• Pajaro Valley Health Care District Hospital Corporation (Watsonville Community Hospital)
• Pajaro Valley Health Care District Hospital Corporation (Pvhcdhc) (Watsonville Community Hospital)
• Pajaro Valley Neurology Medical Associates Inc.
• Pajaro Valley Prevention and Student Assistance
• Pajaro Valley Prevention and Student Assistance
• Pajaro Valley Prevention and Student Assistance
• Pajaro Valley Unitied School District

• Geriatric Medicine (Family Medicine) Physician in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.