ROBERT H EDMUND (NPI# 1689618183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689618183 |
| Entity Type | Individual |
| Full Name | ROBERT H EDMUND |
| Credential | M.D. |
| Practice Address |
12 W Beach St Watsonville CA 95076-4504 |
| Mailing Address |
1400 Emeline Ave Santa Cruz CA 95060-1976 |
| Practice Telephone | 8314544170 |
| Practice Fax Number | 8314544663 |
| Mailing Telephone | 8314544170 |
| Mailing Fax Number | 8314544663 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G28789 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE GROUP ID# | ZZZ91892Z | 01 |
| CA | MEDICARE GROUP ID# | ZZZ92073Z | 01 |
| CA | DEA# | BE4544335 | 01 |
| CA | MEDICAL LICENSE# | G28789 | 01 |
| CA | MEDICARE GROUP ID# | ZZZ91891Z | 01 |
| CA | MEDICARE GROUP ID# | ZZZ92069Z | 01 |
| Street Address |
12 W BEACH ST |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083894133 | Mireya Gomez | Counselor | 12 W Beach St, Watsonville, CA 95076-4504 | 2007-11-06 |
| 1306045810 | Lilia Arana | Counselor | 12 W Beach St, Watsonville, CA 95076-4504 | 2007-07-13 |
| 1114123130 | Deborah Jane Burton | Social Worker | 12 W Beach St, Watsonville, CA 95076-4504 | 2007-06-26 |
| 1669678041 | Debra Ann Cerna | Counselor | 12 W Beach St, Watsonville, CA 95076-4504 | 2007-06-22 |
| 1164628723 | Maria R Juarez | Social Worker | 12 W Beach St, Watsonville, CA 95076-4504 | 2007-06-21 |
| 1225233992 | Maria J Heredia | Counselor | 12 W Beach St, Watsonville, CA 95076-4504 | 2007-06-20 |
| 1649475385 | Elvira Vega Lopez | Nurse's Aide | 12 W Beach St, Watsonville, CA 95076-4504 | 2007-06-20 |
| 1609071430 | Mario Olivares II | Counselor | 12 W Beach St, Watsonville, CA 95076-4504 | 2007-06-20 |
| 1891990875 | Norma Beatriz Calderon | Counselor | 12 W Beach St, Watsonville, CA 95076-4504 | 2007-06-19 |
| 1518162700 | Belinda Ledesma-pena | Counselor | 12 W Beach St, Watsonville, CA 95076-4504 | 2007-06-18 |
| Find all providers in the same location | ||||
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
| 1649482019 | Jonathan Tepper | Psychiatry & Neurology | 240 Westgate Dr Ste 122, Watsonville, CA 95076-2453 | 2007-05-05 |
| 1417982646 | Jonathan B. Tallman | Psychiatry & Neurology | 12 W Beach St, Watsonville, CA 95076-4504 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1295343366 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 177 Park Ave, San Jose, CA 95113-2259 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
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| 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.