NPIMap

Organization Active NPI

County of Monterey

Doing business as Seaside Family Health Ctr

  • Family Medicine Physician
  • Seaside, CA
National Provider Identifier
1881645158
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COUNTY OF MONTEREY
Doing business as
Seaside Family Health Ctr
Practice address
1156 Fremont Blvd
Seaside, CA 93955-5756
Phone
(831) 899-8100
Fax
(831) 899-8105
NPI assigned
May 12, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTEREY COUNTY HEALTH DEPARTMENTAs reported in NPPES

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
Julia Claire Edgcomb
Title
Director/Coo Clinic Services Div.
Phone
(831) 796-1386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1156 Fremont Blvd
Seaside, CA 93955-5756

Mailing address

1441 Schilling Place
South BLDG Floor 1
Salinas, CA 93901-4527
Phone (831) 796-1308

Other identifiers 4

IdentifierTypeStateIssuer
FHC70530FMedicaidCA
BCP70530FOtherCABCEDP
HAP70530FMedicaidCA
ZZZ02040ZOtherCAPTAN

Other names 1

  • Seaside Family Health Ctr Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050712001287 CA Part B Supplier - Clinic/Group Practice 2466345632 Receives reassigned benefits from 94 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Marina, CA; Salinas, CA; Seaside, CA
O20091016000283 CA Part A Provider - Federally Qualified Health Center (FQHC) 2466345632 Practice locations: Seaside, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881645158. Details of each certification follow.

Federally qualified health center certification: CCN 051197

Legal name
COUNTY OF MONTEREY
Doing business as
SEASIDE FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 16, 2009
Last certification
Oct 16, 2009
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
1156 Fremont Blvd
Seaside, CA 93955-5756

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Part of
Natividad Med Ctr Surg

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
County of Monterey Organization, Salinas, CA 5% Or Greater Direct Ownership Interest Jul 1, 1993 100%
Shenna R Morales Individual W-2 Managing EmployeeManaging Employee Jan 1, 2013 5%
Julia Edgcomb Individual Corporate DirectorDirector, Clinic Services Divisi Jan 1, 2013 25%

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • County of Monterey

    dba Laurel Vista

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1033596911

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Laurel Internal Medicine

    • Internal Medicine Physician
    • Salinas, CA
    • NPI 1043262959

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba NIDO Clinic

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1134765381

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Natividad Medical Center

    • General Acute Care Hospital
    • Salinas, CA
    • NPI 1205863255

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Bienestar

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1376956268

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Laurel Pediatric Clinic

    • Pediatrics Physician
    • Salinas, CA
    • NPI 1457303356

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Adult Services Program Salinas Valley

    • Adult Mental Health Clinic/Center
    • Salinas, CA
    • NPI 1467584805

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Alisal Integrated Health Center

    • Federally Qualified Health Center (FQHC)
    • Salinas, CA
    • NPI 1508629171

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Monterey County Health Clinic at Marina

    • Family Medicine Physician
    • Marina, CA
    • NPI 1588617955

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Alisal Health Center

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1699726786

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Laurel Family Practice

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1740232644

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Monterey County Integrated Health Clinic

    • Family Medicine Physician
    • Marina, CA
    • NPI 1912310855

    5% Or Greater Direct Ownership Interest

    CMS ownership
View all 13

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Natividad Medical CenterSalinas, CA, CCN 050248 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 29, 2014
Jan 29, 2014
Natividad Medical CenterSalinas, CA, CCN 05T248 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 29, 2014
Jan 29, 2014
Laurel Family PracticeSalinas, CA, CCN 551003 Federally qualified health center Operational/Managerial Control May 12, 2015
Laurel ClinicsSalinas, CA, CCN 551002 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
Laurel Pediatric ClinicSalinas, CA, CCN 551001 Federally qualified health center 5% Or Greater Direct Ownership Interest Sep 10, 2009
Monterey County Health Clinic at MarinaMarina, CA, CCN 051198 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
Alisal Health CenterSalinas, CA, CCN 051199 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1993
Monterey Integrated Health ClinicMarina, CA, CCN 751098 Federally qualified health center Operational/Managerial Control Sep 16, 2013
BienestarSalinas, CA, CCN 751099 Federally qualified health center Operational/Managerial Control Oct 7, 2013
Laurel VistaSalinas, CA, CCN 751161 Federally qualified health center Operational/Managerial Control May 12, 2015
Nido ClinicSalinas, CA, CCN 921810 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 2, 2020
County of MontereySalinas, CA, CCN A01899 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2024

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Monterey

    dba Laurel Vista

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1033596911

    Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Laurel Internal Medicine

    • Internal Medicine Physician
    • Salinas, CA
    • NPI 1043262959

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba NIDO Clinic

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1134765381

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Natividad Medical Center

    • General Acute Care Hospital
    • Salinas, CA
    • NPI 1205863255

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Bienestar

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1376956268

    Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Laurel Pediatric Clinic

    • Pediatrics Physician
    • Salinas, CA
    • NPI 1457303356

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Alisal Integrated Health Center

    • Federally Qualified Health Center (FQHC)
    • Salinas, CA
    • NPI 1508629171

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Monterey County Health Clinic at Marina

    • Family Medicine Physician
    • Marina, CA
    • NPI 1588617955

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Alisal Health Center

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1699726786

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • County of Monterey

    dba Laurel Family Practice

    • Family Medicine Physician
    • Salinas, CA
    • NPI 1740232644

    Operational/Managerial Control

    CMS ownership
  • County of Monterey

    dba Monterey County Integrated Health Clinic

    • Family Medicine Physician
    • Marina, CA
    • NPI 1912310855

    Operational/Managerial Control

    CMS ownership

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 73

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 73

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881645158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SCHILLING PLACE",
            "address_2": "SOUTH BLDG FLOOR 1",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014527",
            "telephone_number": "831-796-1308",
            "fax_number": "831-757-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 FREMONT BLVD",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555756",
            "telephone_number": "831-899-8100",
            "fax_number": "831-899-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MONTEREY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTEREY COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDGCOMB",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "DIRECTOR/COO CLINIC SERVICES DIV.",
        "authorized_official_telephone_number": "831-796-1386"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70530F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCEDP",
            "identifier": "BCP70530F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP70530F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZZ02040Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaside Family Health Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seaside, CA

Sources for this page

Verify at the official NPI Registry.