OrganizationActive
1150 Main Street Inc
NPI 1912347261 · Family Medicine Physician · Watsonville, CA
Provider details
- NPI number
- 1912347261
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shirley Dickinson, Manager(831) 728-0551
- License
- G56281 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1150 Main St Ste 3
Watsonville, CA 95076-3760
Phone: (831) 728-0551
Fax: (831) 728-3679
Approximate (ZIP-level) locationGet directions
Mailing address
1150 Main St Ste 3
Watsonville, CA 95076-3760
Registry dates
- Enumerated
- 2013-07-01
- Last updated
- 2013-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.