| Watsonville Health Center | |
|
1430 Freedom Blvd. Watsonville CA 95076 | |
| (831) 763-8400 | |
| (831) 763-8237 |
| Full Name | Watsonville Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1430 Freedom Blvd., Watsonville, California |
| Authorized Official Name and Position | Amy Peeler (CHIEF OF CLINIC SERVICES) |
| Authorized Official Contact | 8314544764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Watsonville Health Center 1080 Emeline Ave Santa Cruz CA 95060-1966 Ph: (831) 454-5401 | Watsonville Health Center 1430 Freedom Blvd. Watsonville CA 95076 Ph: (831) 763-8400 |
| NPI Number | 1770709149 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 11/28/2023 |
| Medicare PECOS PAC ID | 7618872912 |
|---|---|
| Medicare Enrollment ID | O20031201000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770709149 | NPI | - | NPPES |
| 1659315430 | Other | CA | LEGAL ENTITY NPI |
| FHC70044F | Medicaid | CA | |
| 261QM0855X | Other | CA | TAXONOMY |
| HAP70044F | Other | CA | STATE OF CA FOR FAMILY PL |
| BCP70044F | Other | CA | CALIF. CANCER DETECTION |
| 261QM0850X | Other | CA | TAXONOMY |
| Provider Name | Jennifer Talbot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609072370 PECOS PAC ID: 0345293304 Enrollment ID: I20050302000259 |
| Provider Name | Daniel R Model |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316960958 PECOS PAC ID: 1456307180 Enrollment ID: I20050325000443 |
| Provider Name | Cayley M Lanctot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245343599 PECOS PAC ID: 0446285167 Enrollment ID: I20050930000858 |
| Provider Name | Nathan Cohen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366526436 PECOS PAC ID: 4981774155 Enrollment ID: I20080529000900 |
| Provider Name | Michele Violich |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831191477 PECOS PAC ID: 4789745506 Enrollment ID: I20081211000212 |
| Provider Name | Wendy Ann Leonard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497755508 PECOS PAC ID: 9931260718 Enrollment ID: I20081211000695 |
| Provider Name | Judith R Kelley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457352189 PECOS PAC ID: 6507927225 Enrollment ID: I20081212000275 |
| Provider Name | Linda Lou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346317567 PECOS PAC ID: 8325197908 Enrollment ID: I20090602000006 |
| Provider Name | Molly M Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508196551 PECOS PAC ID: 3779613245 Enrollment ID: I20100609000661 |
| Provider Name | David Godley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962588483 PECOS PAC ID: 9537355318 Enrollment ID: I20101118000817 |
| Provider Name | Amy K Mcentee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710181599 PECOS PAC ID: 6406044361 Enrollment ID: I20101220001047 |
| Provider Name | Neil M Richman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063437556 PECOS PAC ID: 7315974516 Enrollment ID: I20101229000918 |
| Provider Name | Robin Penelope Brooks |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588619837 PECOS PAC ID: 5597798207 Enrollment ID: I20120124000103 |
| Provider Name | James Reggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932120557 PECOS PAC ID: 4082874797 Enrollment ID: I20120404000138 |
| Provider Name | Anniken B Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447273206 PECOS PAC ID: 5496923567 Enrollment ID: I20120717000388 |
| Provider Name | Kathleen Condon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053580308 PECOS PAC ID: 6103145719 Enrollment ID: I20150504000974 |
| Provider Name | Julie A Laurent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063747624 PECOS PAC ID: 3779894605 Enrollment ID: I20150618003111 |
| Provider Name | Heather C Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992166839 PECOS PAC ID: 8224337738 Enrollment ID: I20160505000720 |
| Provider Name | Catherine Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871888743 PECOS PAC ID: 0446547632 Enrollment ID: I20161003002500 |
| Provider Name | Ignacio F Pacheco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912183310 PECOS PAC ID: 0042598435 Enrollment ID: I20161107001227 |
| Provider Name | Allison M Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023555992 PECOS PAC ID: 0648553651 Enrollment ID: I20170222002718 |
| Provider Name | Dimitri Bacos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760712814 PECOS PAC ID: 9638485444 Enrollment ID: I20170407000626 |
| Provider Name | John Hannegan Lipson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841442761 PECOS PAC ID: 4486896503 Enrollment ID: I20171207002161 |
| Provider Name | Michael A O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881736338 PECOS PAC ID: 0547438632 Enrollment ID: I20180830001930 |
| Provider Name | Jorge A. Duque |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962671800 PECOS PAC ID: 6103160874 Enrollment ID: I20181206001562 |
| Provider Name | Jennifer Sredniawa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033680392 PECOS PAC ID: 1557695459 Enrollment ID: I20190626003319 |
| Provider Name | Blythe Ballaao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669975777 PECOS PAC ID: 6406181031 Enrollment ID: I20190718000784 |
| Provider Name | Kirsten Aline Juel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588225247 PECOS PAC ID: 2860729928 Enrollment ID: I20190812003572 |
| Provider Name | Oleksandr Trofymenko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326542945 PECOS PAC ID: 5698024248 Enrollment ID: I20200225000651 |
| Provider Name | Marcio Melo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790321164 PECOS PAC ID: 1254769060 Enrollment ID: I20200310000356 |
| Provider Name | Melinda Marie Martindale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689219578 PECOS PAC ID: 2163851783 Enrollment ID: I20200402002872 |
| Provider Name | Lilie Mytrang Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144504317 PECOS PAC ID: 0547692253 Enrollment ID: I20200403000742 |
| Provider Name | Minoo Sarkarati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588026256 PECOS PAC ID: 8426386582 Enrollment ID: I20200406000427 |
| Provider Name | Linh T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275761785 PECOS PAC ID: 6204066137 Enrollment ID: I20200420000221 |
| Provider Name | Laura De La Rosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497826911 PECOS PAC ID: 6002246717 Enrollment ID: I20200421001541 |
| Provider Name | Rashmi Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093248254 PECOS PAC ID: 3476983396 Enrollment ID: I20200728001434 |
| Provider Name | Benjamin Ramsden-stein |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154841245 PECOS PAC ID: 5092132613 Enrollment ID: I20200827003002 |
| Provider Name | Amanda Torczynski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114424504 PECOS PAC ID: 0042616476 Enrollment ID: I20210909001577 |
| Provider Name | Jacquelyn C. Byrd |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1396041919 PECOS PAC ID: 7012307606 Enrollment ID: I20211215000014 |
| Provider Name | Ivan D. Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831739937 PECOS PAC ID: 5890174338 Enrollment ID: I20220614001176 |
| Provider Name | Randi M Bittner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043733868 PECOS PAC ID: 1557742962 Enrollment ID: I20220804001781 |
| Provider Name | Jacob Seth Ginsburg |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1932721040 PECOS PAC ID: 5092179820 Enrollment ID: I20230913001110 |
| Provider Name | Judith Claire Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902474471 PECOS PAC ID: 0446603211 Enrollment ID: I20240129000429 |
| Provider Name | Kiandra M Kang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740571587 PECOS PAC ID: 8224474085 Enrollment ID: I20240314003545 |
Salud Para La Gente Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Aviation Way, Suite 200, Watsonville, CA 95076 Phone: 831-728-8250 | |
Rio Del Mar Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 W 5th St, Watsonville, CA 95076 Phone: 831-722-4016 Fax: 831-722-8048 | |
Salud Para La Gente Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Aviation Way, Suite 200, Watsonville, CA 95076 Phone: 831-728-0222 | |
Planned Parenthood Mar Monte, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 398 S Green Valley Rd, Watsonville, CA 95076 Phone: 831-724-7525 Fax: 831-724-7438 | |
Pajaro Valley Community Health Trust Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Nielson St, Ste 201, Watsonville, CA 95076 Phone: 831-763-6445 Fax: 831-724-0877 | |
Felix Huerta Md A Professional Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Penny Ln, Watsonville, CA 95076 Phone: 831-722-2010 Fax: 831-722-2037 | |
Melissa Lopez-bermejo, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1041 Freedom Blvd, Watsonville, CA 95076 Phone: 831-761-6327 Fax: 831-761-7769 |