WATSONVILLE EMERGENCY MEDICAL GROUP


Address: 75 Nielson St, Em Department, Watsonville, CA 95076-2468
Phone: 8317615613

WATSONVILLE EMERGENCY MEDICAL GROUP (NPI# 1154571404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154571404
Entity Type Organization
Organization Name WATSONVILLE EMERGENCY MEDICAL GROUP
Practice Address 75 Nielson St
Em Department
Watsonville
CA 95076-2468
Mailing Address 4401 W Memorial Rd
121
Oklahoma City
OK 73134-1785
Practice Telephone 8317615613
Practice Fax Number 4057513183
Mailing Telephone 4057514664
Mailing Fax Number 4057494561
Enumeration Date 2008-09-23
Last Update Date 2013-01-29
Authorized Official Name STANLEY V HAJDUK (CFO)
Authorized Official Telephone 8317630535
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE SHIELD ZZZ55932Y 01
DEPT OF LABOR 61420880 01
CA 1154571404 05

Office Location

Street Address 75 NIELSON ST
EM DEPARTMENT
City WATSONVILLE
State CA
Zip Code 95076-2468

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023004116 Joel Andrew Weinstein Surgery 75 Nielson St, Watsonville, CA 95076-2468 2005-09-23
1730493594 Ocean View Medicine Inc Emergency Medicine 75 Nielson St, Watsonville, CA 95076-2468 2010-08-03
1063645075 Alan Nirady Emergency Medicine 75 Nielson St, Watsonville, CA 95076-2468 2009-08-25
1922299791 Galen Inpatient Physicians Internal Medicine 75 Nielson St, Watsonville, CA 95076-2468 2007-08-07
1770790461 Donna M Takahashi Pediatrics 75 Nielson St, Watsonville Community Hospital, Watsonville, CA 95076-2468 2007-05-16
1235216755 Michael L Mcgannon Emergency Medicine 75 Nielson St, Em Dept, Watsonville, CA 95076-2468 2006-11-01
1013934553 Paul J Lewandowski Physician Assistant 75 Nielson St, Em Dept, Watsonville, CA 95076-2468 2006-07-17
1609816537 Sterling F Lewis Emergency Medicine 75 Nielson St, Em Dept, Watsonville, CA 95076-2468 2006-06-08
1700827342 Jennifer L. Greening Physician Assistant 75 Nielson St, Em Dept, Watsonville, CA 95076-2468 2006-06-08
1629018957 Stuart A Simon Emergency Medicine 75 Nielson St, Em Dept, Watsonville, CA 95076-2468 2006-06-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841757515 Vicky E Gonzalez Case Manager/Care Coordinator 2714 Freedom Blvrd, Watsonville, CA 95076 2019-02-28
1861987059 Encompass Community Services Community/Behavioral Health 2714 Freedom Blvd., Freedom, CA 95076 2018-06-29
1134617798 Haven of Hope, Inc. Residential Treatment Facility, Emotionally Disturbed Children 107 Pauline Dr, Watsonville, CA 95076 2018-04-28
1346743911 Kathleen Long Physician Assistant 2468, 75 Nielson St, Watsonville, CA 95076 2018-03-09
1811403603 Hieu Thi Thanh Nguyen Boulom Pharmacist 2810 Freedom Blvd, Watsonview, CA 95076 2017-12-16
1649798398 Jonathon Rank Counselor 335 East Lake Ave, Watsonville, CA 95076 2017-09-01
1841653318 Cristina Guzman Registered Nurse 195 Aviation Way, Ste 200, Watsonville, CA 95076 2016-04-01
1013388974 Salud Para La Gente Clinic/Center 195 Aviation Way, Suite 200, Watsonville, CA 95076 2015-10-16
1386025757 Yaseer Yousuf Parupia Podiatrist 47 Penny Lane, Suite 1, Watsonville, CA 95076 2015-06-11
1093100935 Diana Perezchica Counselor 20716 Freedom Blv, Watsonville, CA 95076 2015-03-30
Find all providers in zip 95076

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366499451 Woodworth B Clum Emergency Medicine 75 Nielson Street, Watsonville, CA 95076 2006-05-27
1831587179 Cep America - California Emergency Medicine 75 Neilson St, Watsonville, CA 95076-2468 2015-01-08
1144638677 Patrick Cary Emergency Medicine 75 Neilson St, Watsonville, CA 95076-2468 2014-07-28
1932497914 Vit Daniel Kraushaar Emergency Medicine 75 Neilson St, Watsonville, CA 95076-2468 2011-07-12
1063673218 Linda Szema Emergency Medicine 75 Neilson St, Watsonville, CA 95076-2468 2008-06-20
1235216755 Michael L Mcgannon Emergency Medicine 75 Nielson St, Em Dept, Watsonville, CA 95076-2468 2006-11-01
1922197953 Lisa Jene Jenkins Emergency Medicine 75 Neilson St, Ste 1432, Watsonville, CA 95076-2468 2006-10-11
1750395729 Emergency Medical Group Emergency Medicine 75 Nielson Street, Watsonville, CA 95076 2006-07-28
1609816537 Sterling F Lewis Emergency Medicine 75 Nielson St, Em Dept, Watsonville, CA 95076-2468 2006-06-08
1629018957 Stuart A Simon Emergency Medicine 75 Nielson St, Em Dept, Watsonville, CA 95076-2468 2006-06-07
Find all providers in WATSONVILLE

Competitor

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City WATSONVILLE
Zip Code 95076

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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