S TODD MITCHELL


Address: 445 Summit Road, Watsonville, CA 95076
Phone: 8314797916

S TODD MITCHELL (NPI# 1518027630) 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) 1518027630
Entity Type Individual
Full Name S TODD MITCHELL
Credential MD
Practice Address 445 Summit Road
Watsonville
CA 95076
Practice Telephone 8314797916
Mailing Telephone 8314797916
Enumeration Date 2006-12-11
Last Update Date 2013-01-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine G59020 CA Allopathic & Osteopathic Physicians
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
G59020 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA RR MEDICARE 080051612 01
CA 00G590200 05

Other Providers S MITCHELL

NPI Name Taxonomy Address Enumeration
1265087209 S Vaun Mitchell Clinic/Center 5318 Winneste Ave, Cincinnati, OH 45232-1133 2019-08-06

Office Location

Street Address 445 SUMMIT ROAD
City WATSONVILLE
State CA
Zip Code 95076

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 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861474306 Christopher John O'grady Family Medicine 65 Nielson St, #104, Watsonville, CA 95076-2491 2005-11-18
1679509798 Pajaro Valley Medical Clinic, Inc. Family Medicine 65 Nielson St, Ste 104, Watsonville, CA 95076-2491 2006-06-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013516996 Natasha Harmis Family Medicine 1608 Lawndale Rd, El Cajon, CA 92019-3776 2020-10-21
1073135406 California Gerontology Clinic Family Medicine 1042 S Kingsley Dr Ste 3, Los Angeles, CA 90006-2408 2020-05-07
1225657331 Samantha Lillian Escalera Family Medicine 9608 Planter St, Pico Rivera, CA 90660-4743 2020-04-09
1164058897 Amani A Osman Family Medicine 9753 Holder St, Cypress, CA 90630-4004 2020-03-13
1396378980 David F Shirley M D P C Family Medicine 4001 Impala Circle, Roseville, CA 95678 2020-02-21
1013549914 Vertini Medical Group Inc Family Medicine 1001 W Carson St Ste S, Torrance, CA 90502-2051 2020-02-07
1295297463 Cedars Family Medicine Inc Family Medicine 18021 Sky Park Cir Ste G, Irvine, CA 92614-6569 2019-04-04
1811455967 Hope Geriatric Medical Center Inc Family Medicine 9 Coursan, Laguna Niguel, CA 92677-8902 2019-03-07
1245702174 Jonah Medical Group Inc Family Medicine 20627 Golden Springs Dr Ste D, Walnut, CA 91789-4814 2018-12-17
1104392885 Wilshire Connected Care Family Medicine 277 South St Ste S, San Luis Obispo, CA 93401-5039 2018-10-19
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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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