Organization Active NPI

Pajaro Valley Neurology Medical Associates Inc.

  • Specialist
  • Watsonville, CA
National Provider Identifier
1841306412
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PAJARO VALLEY NEUROLOGY MEDICAL ASSOCIATES INC.
Practice address
64 Aspen Way Ste 101
Watsonville, CA 95076-3084
Phone
(831) 786-1660
Fax
(831) 786-1660
NPI assigned
Aug 23, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Rosemary Aguilar
Title
Medical Biller
Phone
(831) 786-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CA Primary

Addresses

Primary practice location

64 Aspen Way Ste 101
Watsonville, CA 95076-3084

Mailing address

64 Aspen Way Ste 101
Watsonville, CA 95076-3084
Phone (831) 786-1660

Other identifiers 2

IdentifierTypeStateIssuer
00A690290MedicaidCA
00A632030MedicaidCA

National Provider Directory

National Provider Directory

Locations

176 Sargent Ct
Monterey, CA 93940
Phone (831) 656-9796

64 Aspen Way
#101
Watsonville, CA 95076
Phone (831) 786-1660

Practitioners & affiliated clinicians

Practitioners 3

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841306412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 ASPEN WAY STE 101",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763084",
            "telephone_number": "831-786-1660",
            "fax_number": "831-786-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ASPEN WAY STE 101",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763084",
            "telephone_number": "831-786-1660",
            "fax_number": "831-786-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAJARO VALLEY NEUROLOGY MEDICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "831-786-1660",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A690290",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A632030",
            "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 Jul 21, 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.