Organization Active NPI

Plazita Medical Clinic Inc

  • Family Medicine Physician
  • Watsonville, CA
National Provider Identifier
1801808357
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G431360 Issued in CA
Legal business name
PLAZITA MEDICAL CLINIC INC
Practice address
1150 Main St
Suite 3
Watsonville, CA 95076-3747
Phone
(831) 728-0551
Fax
(831) 728-3279
NPI assigned
Aug 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffrey A Solinas, MDNPI 1962498006
Title
Director
Phone
(831) 728-0551

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G431360 CA Primary

Addresses

Primary practice location

1150 Main St
Suite 3
Watsonville, CA 95076-3747

Mailing address

1150 Main St
Suite 3
Watsonville, CA 95076-3747
Phone (831) 728-0551

Other identifiers 1

IdentifierTypeStateIssuer
00G431360MedicaidCA

Other names 1

  • Corporation Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081013000007 CA Part B Supplier - Clinic/Group Practice 6507934940 Receives reassigned benefits from 4 practitioners
Practice locations: Watsonville, CA

National Provider Directory

National Provider Directory

Locations

1150 Main St
Ste 3
Watsonville, CA 95076
Phone (831) 728-0551

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801808357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MAIN ST",
            "address_2": "SUITE 3",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763747",
            "telephone_number": "831-728-0551",
            "fax_number": "831-728-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MAIN ST",
            "address_2": "SUITE 3",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763747",
            "telephone_number": "831-728-0551",
            "fax_number": "831-728-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZITA MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLINAS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "831-728-0551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G431360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G431360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.