CAPITOLA PEDIATRICS – NPI #1811012545
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CAPITOLA PEDIATRICS is a provider located in CAPITOLA, CA. NPPES has assigned the NPI number 1811012545 to CAPITOLA PEDIATRICS on March 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 12 years ago on Aug 04, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAPITOLA PEDIATRICS below.

NPI Profile for
CAPITOLA PEDIATRICS

NPI Number
1811012545
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAPITOLA PEDIATRICS
Doing Business As (dba): CAPITOLA PEDIATRICS
Primary location
4145 CLARES STREET
SUITE A
CAPITOLA, CA 95010
Phone: (831) 476-1933 Fax: (831) 476-2677
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELIZABETH BASKERVILLE
OWNER/PEDIATRICIAN
Phone: (831) 475-1883
Updated
Identifiers

Identifiers for CAPITOLA PEDIATRICS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELD ID#-CAP OFFICCAZZZ08020Z
MEDICAIDCAGR0099151
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.