Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WATSONVILLE EMERGENCY MEDICAL GROUP
Active
Organization
WATSONVILLE EMERGENCY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY V HAJDUK MD (CFO)
(831) 763-0535
Entity
Organization
Contact information
Practice address
75 NIELSON ST, EM DEPARTMENT, WATSONVILLE, CA 95076-2468
(831) 761-5613
(405) 751-3183
Mailing address
4401 W MEMORIAL RD, 121, OKLAHOMA CITY, OK 73134-1785
(405) 751-4664
(405) 749-4561
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154571404
—
CA
01
—
61420880
DEPT OF LABOR
—
01
—
ZZZ55932Y
BLUE SHIELD
CA
Enumeration date
09/23/2008
Last updated
01/29/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up