NPIMap

Organization Active NPI

Southern Monterey County Memorial Hospital

Doing business as Family Medical Center

  • Clinic/Center
  • King City, CA
National Provider Identifier
1821300427
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
070000047 Issued in CA
Legal business name
SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL
Doing business as
Family Medical Center
Practice address
400 Canal St
Ste a
King City, CA 93930-3461
Phone
(831) 385-1280
Fax
(831) 385-1285
NPI assigned
Jul 12, 2010
Last updated
Dec 17, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Mr. Lex Smith
Title
Ceo
Phone
(831) 385-7233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 070000047 CA Primary

Addresses

Primary practice location

400 Canal St
Ste a
King City, CA 93930-3461

Mailing address

400 Canal St
Ste a
King City, CA 93930-3461
Phone (831) 385-1280

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ54851YOtherCABLUE SHIELD PROVIDER #

Other names 1

  • Family Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050216000803 CA Part B Supplier - Clinic/Group Practice 7719883461 Receives reassigned benefits from 160 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: King City, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
George L Mee Mem Hospit

Locations

210 Canal St
King City, CA 93930
Phone (931) 385-7100

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1821300427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CANAL ST",
            "address_2": "STE A",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939303461",
            "telephone_number": "831-385-1280",
            "fax_number": "831-385-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CANAL ST",
            "address_2": "STE A",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939303461",
            "telephone_number": "831-385-1280",
            "fax_number": "831-385-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2010-07-12",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-385-7233",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "070000047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "ZZZ54851Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.