HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION (NPI# 1619477718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619477718 |
| Entity Type | Organization |
| Organization Name | HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION |
| Other Organization Name | LA CLINICA FRESALUD |
| Practice Address |
40 Penny Ln Ste 4 Watsonville CA 95076-6008 |
| Mailing Address |
5500 Maryland Way Ste 400 Brentwood TN 37027-7048 |
| Practice Telephone | 8317680412 |
| Practice Fax Number | 8554942040 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | DR. PETER VASQUEZ (PRESIDENT) |
| Authorized Official Telephone | 6154686248 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| La Clinica FreSalud | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1013543693 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3600 Juliette Ln # Sr9-01, Santa Clara, CA 95054-1540 | 2020-03-16 |
| 1285277475 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 6121 Bollinger Canyon Rd, San Ramon, CA 94583-5287 | 2019-10-21 |
| 1184124281 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 1414 S Miller St Ste 3, Santa Maria, CA 93454-6916 | 2018-02-15 |
| 1912426032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 1111 Lockheed Martin Way Bldg 157, Sunnyvale, CA 94089-1212 | 2017-09-11 |
| 1831640473 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 77 Beale St, San Francisco, CA 94105-1814 | 2016-10-19 |
| 1023436599 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3984 Indiana Ave, Perris, CA 92571-3154 | 2014-04-02 |
| 1841530037 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 573 Santa Rita Ave, Modesto, CA 95354-3756 | 2013-02-25 |
| 1457642548 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 3571 N 1st St Fl 2, San Jose, CA 95134-1803 | 2011-04-25 |
| 1285938969 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 5535 Morehouse Ave,s-274, San Diego, CA 92121-1710 | 2011-01-10 |
| Street Address |
40 PENNY LN STE 4 |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-6008 |
| 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 Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1982211835 | Crossover Health Medical Group | Clinic/Center | 711 W 2nd St Ste A, San Bernardino, CA 92410-3262 | 2020-09-24 |
| 1982211843 | Crossover Health Medical Group | Clinic/Center | 5379 Hamner Ave Unit 801, Eastvale, CA 91752-1042 | 2020-09-24 |
| 1164039020 | Crossover Health Medical Group | Clinic/Center | 14329 Frederick St Ste 7-9, Moreno Valley, CA 92553-9003 | 2020-09-24 |
| 1104432673 | Aleracare Medical Group of California | Clinic/Center | 17777 Ventura Blvd Ste 220, Encino, CA 91316-3748 | 2020-09-21 |
| 1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
| 1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
| 1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
| 1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
| 1306464979 | Aleracare Medical Group of California | Clinic/Center | 4849 Van Nuys Blvd Ste 220, Sherman Oaks, CA 91403-2155 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
Please comment or provide details below to improve the information on HEALTHWORKS MED GROUP OF CALIFORNIA A MEDICAL CORPORATION.
| 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.