Provider Demographics
NPI:1134411549
Name:PINNACLE HEALTHCARE MEDICAL GROUP-WATSONVILLE, INC.
Entity type:Organization
Organization Name:PINNACLE HEALTHCARE MEDICAL GROUP-WATSONVILLE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALVERO
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:831-757-4444
Mailing Address - Street 1:4 ROSSI CIR STE 101
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93907-2358
Mailing Address - Country:US
Mailing Address - Phone:831-757-4444
Mailing Address - Fax:831-757-4419
Practice Address - Street 1:591 MCCRAY ST STE 101
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023
Practice Address - Country:US
Practice Address - Phone:831-634-4444
Practice Address - Fax:831-634-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care