S TODD MITCHELL MD NPI 1518027630

NPI Information

  • NPI: 1518027630
  • Provider Name: S TODD MITCHELL, MD
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 445 SUMMIT ROAD
    WATSONVILLE, CA
    ZIP 95076
  • Phone: (831) 479-7916

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NPI Details

S Todd Mitchell, MD is a geriatric medicine family medicine in Watsonville, CA with 41 years of experience. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. S Todd Mitchell, MD NPI is 1518027630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:1985

The provider's business location address is:

445 SUMMIT ROAD
WATSONVILLE, CA
ZIP 95076
Phone: (831) 479-7916

The NPI 1518027630 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 1/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineG59020CALIFORNIANo
2207QG0300XFamily MedicineGeriatric MedicineG59020CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G590200MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2080051612OTHERCALIFORNIARR MEDICARE
300G590200MEDICAIDCALIFORNIA
4F15276MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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