Active NPI
Maria Melinda Dela Cruz Elevado, M.D.
- Pediatrics Physician
- Watsonville, CA
National Provider Identifier
1699796722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A90906
- Practice address
- 204 E Beach St
Watsonville, CA 95076-4809 - Phone
- (831) 728-0222
- Fax
- (831) 707-2777
- NPI assigned
- Jul 22, 2006
- Last updated
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A90906 | CA | Primary |
Addresses
Primary practice location
204 E Beach St
Watsonville, CA 95076-4809
Mailing address
PO Box 1870
Watsonville, CA 95077-1870
Phone (831) 728-0222
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70593F | Medicaid | CA | |
| BB278Z | Other | CA | PTAN W1508 |
| W1508 | Other | CA | MEDICARE |
| HAP70593F | Other | CA | FAMILY PLANNING |
| BCP70693F | Other | CA | CANCER DETECTION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Central Coast Inc | Past | Accepting new patients | |
| Salud Para la Gente | Past | Accepting new patients | |
| Community Health Centers of the Central Coast, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Arroyo Grande, CA
- NPI 1447277488
-
dba Community Health Centers, Santa Maria 3
- Family Medicine Physician
- Santa Maria, CA
- NPI 1679736987
-
- Federally Qualified Health Center (FQHC)
- Watsonville, CA
- NPI 1629269618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1699796722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1870",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950771870",
"telephone_number": "831-728-0222",
"fax_number": "831-707-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E BEACH ST",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950764809",
"telephone_number": "831-728-0222",
"fax_number": "831-707-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELEVADO",
"first_name": "MARIA MELINDA",
"middle_name": "DELA CRUZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-22",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A90906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70593F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN W1508",
"identifier": "BB278Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "W1508",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY PLANNING",
"identifier": "HAP70593F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CANCER DETECTION",
"identifier": "BCP70693F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.