NPIMap

Organization Active NPI

Pajaro Valley Prevention and Student Assistance

  • Community/Behavioral Health Agency
  • Watsonville, CA
National Provider Identifier
1720500796
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C1677797 Issued in CA
Legal business name
PAJARO VALLEY PREVENTION AND STUDENT ASSISTANCE
Practice address
411 E Lake Ave
Watsonville, CA 95076-4424
Phone
(831) 728-6445
Fax
(831) 761-6011
NPI assigned
Jul 12, 2017
Last updated
Nov 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Jasmine NajeraNPI 1912286816
Title
Ceo
Phone
(831) 728-6476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C1677797 CA Primary

Addresses

Primary practice location

411 E Lake Ave
Watsonville, CA 95076-4424

Mailing address

335 E Lake Ave
Watsonville, CA 95076-4826
Phone (831) 728-6445

National Provider Directory

National Provider Directory
Tax ID family
Pajaro Valley Prevention and Student Assistance3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

11 Alexander St
Ste D
Watsonville, CA 95076
Phone (831) 471-7814

411 E Lake Ave
Watsonville, CA 95076
Phone (831) 724-7778

Practitioners & affiliated clinicians

Practitioners 66

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 66

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1720500796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E LAKE AVE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764826",
            "telephone_number": "831-728-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E LAKE AVE",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764424",
            "telephone_number": "831-728-6445",
            "fax_number": "831-761-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAJARO VALLEY PREVENTION AND STUDENT ASSISTANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "NAJERA",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-728-6476"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "C1677797",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.